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 |
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Address | 102 Fox Haven Dr, Greenville, North Carolina |
Phone Number | 2523537025 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Smith Phyllis |
Telephone Number | 2523537025 |
NPI Number Detail
NPI Number | 1811158546 |
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Provider Enumeration Date | 2008-06-25 |
Last Updated Date | 2008-06-25 |
Provider Mailing Address Detail
Address | 102 Fox Haven Dr |
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City | Greenville |
State | North Carolina (NC) |
Post Code | 278589720 |
Phone Number | 2523537025 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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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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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.