Organization
ENRICHMENT SERVICES GROUP LLC
Active
Organization
ENRICHMENT SERVICES GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUANA RICHMOND LPC LCAS CCS CSOTP (CLINICAL DIRECTOR)
(919) 342-8767
Entity
Organization
Contact information
Practice address
140 N STEELE ST STE 17, SANFORD, NC 27330-3967
(919) 342-8767
(919) 869-2558
Mailing address
3308 HUNTING BAY DR, SPRING LAKE, NC 28390-1543
(336) 212-9236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
175T00000X
Peer Specialist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801183850
—
NC
Enumeration date
07/12/2019
Last updated
07/12/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up