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

Therapeutic Village LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1285452375

Therapeutic Village LLC is a Psychiatric/Mental Health Nurse Practitioner in Raleigh, North Carolina. Works from 5 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8386 Six Forks Rd Ste 101
Raleigh, NC 27615-5088
Phone: (336) 933-1204
Fax: (336) 510-0926
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 211 S Jarvis St, Greenville, NC 27858-2052 — (336) 510-0653
  • 2157 Raleigh Rd, Henderson, NC 27536-5761 — (336) 510-0653
  • 203 W Nash St, Louisburg, NC 27549-2527 — (336) 510-0653
  • 221 1st Ave W Ste 200, Seattle, WA 98119-4223 — (336) 510-0653

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1285452375
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Keymian Crisp — Practice Manager · (336) 510-0653
NPI enumeratedSeptember 28, 2024
Last updated in NPPESOctober 23, 2024
Certification dateOctober 23, 2024
Mailing address8386 Six Forks Rd Ste 101, Raleigh, NC 27615-5088

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