Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Provisions2Live Behavioral Health PLLC

Organization Psychiatric/Mental Health Clinical Nurse Specialist · NPI 1073255055

Provisions2Live Behavioral Health PLLC is a Psychiatric/Mental Health Clinical Nurse Specialist in Durham, North Carolina. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3622 Lyckan Pkwy Ste 4006
Durham, NC 27707-2566
Phone: (919) 390-1398
Fax: (919) 910-5668
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 554 N Main St, South Boston, VA 24592-3206 — (919) 390-1398

Specialties & licences

Psychiatric/Mental Health Clinical Nurse Specialist (primary) Taxonomy 364SP0808X

Record details

NPI number1073255055
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jennifer McLean-Russ — Pmh-Np · (919) 390-1398
NPI enumeratedApril 11, 2022
Last updated in NPPESJuly 20, 2026
Certification dateJuly 20, 2026
Mailing address3622 Lyckan Pkwy Ste 4006, Durham, NC 27707-2566

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