Healthcare Provider Details

I. General information

NPI: 1497601090
Provider Name (Legal Business Name): UNITY HAVEN OF NC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/11/2026
Certification Date: 03/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5170 WENDELL BLVD
WENDELL NC
27591-6918
US

IV. Provider business mailing address

5170 WENDELL BLVD
WENDELL NC
27591-6918
US

V. Phone/Fax

Practice location:
  • Phone: 252-658-7455
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: VALENCIA SMITH
Title or Position: OWNER
Credential:
Phone: 252-658-7455