=====================================================
General NPI Number Information
=====================================================
NPI Number | 1790659357
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TRUTH2LIVE PEER RECOVERY SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/06/2025
-----------------------------------------------------
Last Update Date | 10/06/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 909 ALLEN RD APT B2
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27834-8224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-648-2273
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 909 ALLEN RD APT B2
-----------------------------------------------------
City | GREENVILLE
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27834-8224
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 252-648-2273
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR/OWNER
-----------------------------------------------------
Name | KHRECIA LASHANDA HOLLEY
-----------------------------------------------------
Credential | CPSS, CADC-R, FPS
-----------------------------------------------------
Telephone | 252-947-9339
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175T00000X
-----------------------------------------------------
Taxonomy Name | Peer Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------