Psychotherapeutic Services in Burlington - Group Psychotherapy
Psychotherapeutic Services - NPI 1013057009
Psychotherapeutic Services is a Group Psychotherapy in Burlington, North Carolina. Psychotherapeutic Services practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Psychotherapeutic Services is 1013057009. The last update date is 2016-12-01.
Psychotherapeutic Services's current location address is 2260 S Church St, Burlington, North Carolina. You can contact this provider via phone number 4107789114 and fax number 4107787988. The mailing address for Psychotherapeutic Services is 2260 S Church St, Burlington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Psychotherapeutic Services |
|---|---|
| Address | 2260 S Church St, Burlington, North Carolina |
| Phone Number | 4107789114 |
| Fax Number | 4107787988 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | BILLING MA |
|---|---|
| Authorized Official Name | Clendaniel Lynn Marcia |
| Telephone Number | 4108102465 |
NPI Number Detail
| NPI Number | 1013057009 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2016-12-01 |
Provider Mailing Address Detail
| Address | 2260 S Church St |
|---|---|
| City | Burlington |
| State | North Carolina (NC) |
| Post Code | 27215 |
| Phone Number | 4107789114 |
| Fax Number | 4107787988 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
|
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8300588 | NC | -- | |
| 8300588S | NC | PSYCHOSOCIAL REHAB |
Post Comment/ Review Below
What is the Psychotherapeutic Services's unique identification number?
The Psychotherapeutic Services has been assigned the NPI (National Provider Identifier) Number 1013057009 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Psychotherapeutic Services located?
The Psychotherapeutic Services is located at 2260 S Church St, Burlington, NC 27215.
What is Psychotherapeutic Services's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Psychotherapeutic Services is Group Psychotherapy, and the taxonomy code that classifies this field of practice is 103Tp2701X.
On what date did the Psychotherapeutic Services receive the assignment of its 1013057009 from the Centers for Medicare & Medicaid Services?
The Psychotherapeutic Services was issued its 1013057009 by the Centers for Medicare & Medicaid Services on 2007-02-07.
When was the information regarding Psychotherapeutic Services most recently updated?
The details pertaining to the Psychotherapeutic Services, including its address, specialty, and other relevant information, were last refreshed on 2016-12-01.