Organization · Type 2 NPI
Therapeutic Village LLC
Psychiatric/Mental Health Nurse Practitioner · Raleigh, NC
NPI number
1285452375
Active
Practice location
8386 Six Forks Rd Ste 101
Raleigh, NC 27615-5088
Fax (336) 510-0926
Other practice locations
- 203 W Nash St, Louisburg, NC 27549-2527 · (336) 510-0653
- 2157 Raleigh Rd, Henderson, NC 27536-5761 · (336) 510-0653
- 211 S Jarvis St, Greenville, NC 27858-2052 · (336) 510-0653
- 221 1st Ave W Ste 200, Seattle, WA 98119-4223 · (336) 510-0653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1285452375
Therapeutic Village LLC's National Provider Identifier is 1285452375, issued on Sep 28, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Raleigh, NC. The record was last updated on Oct 23, 2024.