| Proven Progress Counseling And Trauma Treatment Pllc | |
|
4601 Lake Boone Trl Ste 2d Raleigh NC 27607-7503 | |
| (919) 276-0626 | |
| (844) 355-2247 |
| Full Name | Proven Progress Counseling And Trauma Treatment Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4601 Lake Boone Trl Ste 2d, Raleigh, North Carolina |
| Authorized Official Name and Position | Christine Duffy-gill (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9192760626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proven Progress Counseling And Trauma Treatment Pllc 9650 Strickland Rd Ste 103-416 Raleigh NC 27615-1902 Ph: (919) 276-0626 | Proven Progress Counseling And Trauma Treatment Pllc 4601 Lake Boone Trl Ste 2d Raleigh NC 27607-7503 Ph: (919) 276-0626 |
| NPI Number | 1598237687 |
|---|---|
| Provider Enumeration Date | 12/30/2018 |
| Last Update Date | 12/30/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598237687 | NPI | - | NPPES |
| 1356664304 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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