Family Intervention & Prevention Services, Llc | |
211 Court St Louisburg NC 27549-2565 | |
(919) 340-1626 | |
Not Available |
Full Name | Family Intervention & Prevention Services, Llc |
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Speciality | Psychologist |
Location | 211 Court St, Louisburg, North Carolina |
Authorized Official Name and Position | Tanya Victoria Smith (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 9193401626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Family Intervention & Prevention Services, Llc 211 Court St Louisburg NC 27549-2565 Ph: (919) 340-1626 | Family Intervention & Prevention Services, Llc 211 Court St Louisburg NC 27549-2565 Ph: (919) 340-1626 |
NPI Number | 1689867962 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 08/21/2007 |
Identifier | Type | State | Issuer |
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1689867962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
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