GO HARD FOR LIFE INTERNATIONAL (NPI# 1508253923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508253923 |
| Entity Type | Organization |
| Organization Name | GO HARD FOR LIFE INTERNATIONAL |
| Practice Address |
3211 Bramer Drive Raleigh NC 27604-1804 |
| Mailing Address |
3211 Bramer Dr Raleigh NC 27604-1603 |
| Practice Telephone | 9198509960 |
| Practice Fax Number | 9198509961 |
| Mailing Telephone | 9198509960 |
| Mailing Fax Number | 9192689660 |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2016-05-10 |
| Authorized Official Name | DR. JERRY WILLIAM WILEY (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9198509960 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21616 | NC | Behavioral Health & Social Service Providers |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
21616 | NC | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | 21616 | NC | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | 21616 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
21616 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043689565 | Go Hard for Life International | General Practice | 4404 Deer Knoll Ct, Raleigh, NC 27603-8589 | 2015-09-15 |
| Street Address |
3211 BRAMER DRIVE |
| City | RALEIGH |
| State | NC |
| Zip Code | 27604-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326669748 | Monet Josey | Counselor | 3020 Highwood Blvd, Raleigh, NC 27604 | 2020-04-27 |
| 1154979094 | Ride4health Transportation Inc | Non-emergency Medical Transport (VAN) | 3200 Capital Blvd, Raleigh, NC 27604 | 2019-09-03 |
| 1851890750 | Sasilana Letreva Burden | In Home Supportive Care | 4000 Northstone Drive Apt 307, Raleigh, NC 27604 | 2018-02-06 |
| 1093226383 | The Eye Institute Od, Pa | Optometrist | 111 Seaboard Ave Ste 110, Raleigh, NC 27604 | 2017-10-13 |
| 1902326044 | Ngozi Ifeoma Osiebo | Nurse Practitioner | 4608 Wedgewood Drive, Raleigh, NC 27604 | 2017-06-20 |
| 1144765520 | Rose Hill Family Care Home | Custodial Care Facility | 1705 Beacon Bluff Street, Raleigh, NC 27604 | 2016-12-21 |
| 1437609948 | Mercy Manor At Saybrooke, Inc | Custodial Care Facility | 6320 Saybrooke Drive, Raleigh, NC 27604 | 2016-10-07 |
| 1972969913 | Shivas Gilotra | Nurse Practitioner | 805 Oberlin Road, Ste 200, Raleigh, NC 27604 | 2016-01-06 |
| 1609247915 | Charisse Justine Young | Social Worker | 2609 Atlantic Avenue, Suite 111c, Raleigh, NC 27604 | 2015-10-13 |
| 1356748933 | John T Hart | Counselor | 1115-113 Cove Bridge Road, Raleigh, NC 27604 | 2014-11-26 |
| Find all providers in zip 27604 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1669070561 | Yazmeen Nilaja Irving | Counselor | 1654 Brownairs Ln, Raleigh, NC 27610-3490 | 2020-10-13 |
| 1194323980 | James P Perkins Jr. | Counselor | 4205 Wake Forest Rd Ste 101, Raleigh, NC 27609-6246 | 2020-10-13 |
| 1598362154 | Polaris Psychological Health Counseling and Consulting Services Pllc | Counselor | 181 Wind Chime Ct Ste 201, Raleigh, NC 27615-6573 | 2020-10-07 |
| 1740897099 | Nola Metz Allan | Counselor | 537 Rand Rd, Raleigh, NC 27603-8715 | 2020-09-29 |
| 1346856291 | Julie Freeman | Counselor | 2108 Langdon Rd, Raleigh, NC 27604-3616 | 2020-09-16 |
| 1104438738 | Rebekah Lynn Musselwhite | Counselor | 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 | 2020-08-17 |
| 1487263026 | Better Health Counseling & Wellness, Pllc | Counselor | 5245 Pinehall Wynd, Raleigh, NC 27604-5827 | 2020-07-29 |
| 1174132021 | Kimberley Irene Gada-steinauer | Counselor | 4913 Professional Ct Ste 207, Raleigh, NC 27609-1926 | 2020-07-27 |
| 1780202085 | Tessa Blair Nayowith | Counselor | 6512 Six Forks Rd Ste 403b, Raleigh, NC 27615-6526 | 2020-07-13 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.