| Tja Family Services Llc | |
|
234 N Madison Blvd Roxboro NC 27573-5302 | |
| (336) 558-4479 | |
| Not Available |
| Full Name | Tja Family Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 234 N Madison Blvd, Roxboro, North Carolina |
| Authorized Official Name and Position | Larissa Bowles Alston (MEMBER) |
| Authorized Official Contact | 3365584479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tja Family Services Llc 4613 Barn Owl Ct Greensboro NC 27406-8065 Ph: (336) 558-4479 | Tja Family Services Llc 234 N Madison Blvd Roxboro NC 27573-5302 Ph: (336) 558-4479 |
| NPI Number | 1841652765 |
|---|---|
| Provider Enumeration Date | 03/22/2016 |
| Last Update Date | 03/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841652765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (North Carolina) | Secondary |
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