IndividualActive
Stehanie Wall
NPI 1083045306 · Mental Illness Community Based Residential Treatment Facility · Raeford, NC
Provider details
- NPI number
- 1083045306
- Entity type
- Individual
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- MHL-047-152 (NC)
Specialties & taxonomies
- Mental Illness Community Based Residential Treatment FacilityPrimary320800000XLicense MHL-047-152 (NC)
Residential Treatment Facilities
Other Service Providers
Transportation Services
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1357 Wayside Rd
Raeford, NC 28376-6513
Phone: (910) 565-2139
Street-level locationGet directions
Mailing address
3204 High Plains Dr
Hope Mills, NC 28348-5726
Registry dates
- Enumerated
- 2013-12-12
- Last updated
- 2015-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.