institution
Prosource Therapeutics Llc
Professional Counselor in Greenville, North Carolina
NPI 1992758429

Prosource Therapeutics Llc is a Professional Counselor based in Greenville, NC and is specialized in Professional. Prosource Therapeutics Llc practices in Greenville, NC. The NPI Number for Prosource Therapeutics Llc is 1992758429 and holds a License No. 2971 (North Carolina).

The current practice location address for Prosource Therapeutics Llc is 102 Fox Haven Dr, Greenville, NC and can be reached out via phone at 252-353-7025 and via fax at 252-353-7028. You can also correspond with Prosource Therapeutics Llc through the mailing address at 102 FOX HAVEN DR, GREENVILLE, NC - 27858-7100 (mailing address contact number: 252-353-7025).

Location: 102 Fox Haven Dr, Greenville, NC, 27858-7100
institution
Provider Profile Details
NPI Number
1992758429
Provider Name
Prosource Therapeutics Llc
Credential
Provider Entity Type
Organization
Address
102 Fox Haven Dr, Greenville, NC, 27858-7100
Phone Number
252-353-7025
Fax Number
252-353-7028
Provider Enumeration Date
05/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
017PN 01 NC NC BLUE CROSS BLUE SHIELD
6005734 05 NC
institution
Provider Business Practice Location Address Details
Address
102 Fox Haven Dr
City
State
Zip
27858-7100
Phone Number
252-353-7025
Fax Number
252-353-7028
person
Provider Business Mailing Address Details
Address
102 Fox Haven Dr
City
State
Zip
27858-7100
Phone Number
252-353-7025
Fax Number
252-353-7028
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2971 (North Carolina)
Definition
Definition to come...
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