Prosource Therapeutics, Llc in Greenville - Clinical

Prosource Therapeutics, Llc - NPI 1811158546

Prosource Therapeutics, Llc is a Clinical in Greenville, North Carolina. Prosource Therapeutics, Llc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Prosource Therapeutics, Llc is 1811158546. The last update date is 2008-06-25.

Prosource Therapeutics, Llc's current location address is 102 Fox Haven Dr, Greenville, North Carolina. You can contact this provider via phone number 2523537025. The mailing address for Prosource Therapeutics, Llc is 102 Fox Haven Dr, Greenville, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Prosource Therapeutics, Llc
Address 102 Fox Haven Dr, Greenville, North Carolina
Phone Number 2523537025
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Smith Phyllis
Telephone Number 2523537025

NPI Number Detail

NPI Number 1811158546
Provider Enumeration Date 2008-06-25
Last Updated Date 2008-06-25

Provider Mailing Address Detail

Address 102 Fox Haven Dr
City Greenville
State North Carolina (NC)
Post Code 278589720
Phone Number 2523537025
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 1041C0700X
Definition:
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif

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FAQs about Prosource Therapeutics, Llc

What is the Prosource Therapeutics, Llc's 1811158546?

The Prosource Therapeutics, Llc's NPI (National Provider Identifier) Number is 1811158546. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Prosource Therapeutics, Llc's facilities are situated?

The facilities of Prosource Therapeutics, Llc are physically located at the following address: 102 Fox Haven Dr, Greenville, NC, 278589720.

What is Prosource Therapeutics, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Prosource Therapeutics, Llc's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.

When was the Prosource Therapeutics, Llc's 1811158546 issued?

The Prosource Therapeutics, Llc's 1811158546 was issued on 2008-06-25.

As of what date was the information pertaining to Prosource Therapeutics, Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Prosource Therapeutics, Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-25.

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