PROSPERITY RECOVERY SERVICES NPI 1215325675

NPI Information

NPI: 1215325675
Provider Name: PROSPERITY RECOVERY SERVICES
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
631 UNITED DR STE 100-B
DURHAM, NC
ZIP 27713
Phone: (919) 636-0731
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PROSPERITY RECOVERY SERVICES is a counselor in Durham, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. PROSPERITY RECOVERY SERVICES NPI is 1215325675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

631 UNITED DR STE 100-B
DURHAM, NC
ZIP 27713-661
Phone: (919) 636-0731

The provider's authorized official is Tony Tosh .
The authorized official title is Chief Executive Officer and has the following contact phone number (919) 636-0731.

The enumeration date for this NPI number is 1/7/2015 and was last updated on 1/8/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	0000000	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	0000000	NORTH CAROLINA	No
3	101YP2500X	Counselor	Professional	0000000	NORTH CAROLINA	No
4	106H00000X	Marriage & Family Therapist		00000000	NORTH CAROLINA	No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	0000000	NORTH CAROLINA	No
6	103TA0700X	Psychologist	Adult Development & Aging	0000000	NORTH CAROLINA	No
7	103TC1900X	Psychologist	Counseling	0000000	NORTH CAROLINA	No
8	103TH0100X	Psychologist	Health Service	0000000	NORTH CAROLINA	No
9	103TR0400X	Psychologist	Rehabilitation	00000000	NORTH CAROLINA	No
10	104100000X	Social Worker		000000	NORTH CAROLINA	No
11	1041C0700X	Social Worker	Clinical	0000000	NORTH CAROLINA	No
12	101Y00000X	Counselor		0000	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000000	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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