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TRIAD PSYCHIATRIC AND COUNSELING CENTER PA NPI 1285671602


NPI Information

NPI: 1285671602
Provider Name: TRIAD PSYCHIATRIC AND COUNSELING CENTER PA

Doing Business As: TPCC, PA

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 34D2114666

Address:
603 DOLLEY MADISON RD STE 100
GREENSBORO, NC
ZIP 27410
Phone: (336) 632-3505
Get Directions

TRIAD PSYCHIATRIC AND COUNSELING CENTER PA is a psychiatry psychiatry neurology in Greensboro, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. TRIAD PSYCHIATRIC AND COUNSELING CENTER PA NPI is 1285671602. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tpcc, Pa.

The provider's business location address is:

603 DOLLEY MADISON RD STE 100
GREENSBORO, NC
ZIP 27410-282
Phone: (336) 632-3505
Fax: (336) 632-3503

The provider's authorized official is Joanne L Eure .
The authorized official title is Billing Manager and has the following contact phone number (336) 632-3505.

The CLIA number assigned to this NPI record is 34D2114666 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/2/2006 and was last updated on 3/17/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor2270NORTH CAROLINANo
21041C0700XSocial WorkerClinicalNo
32084P0800XPsychiatry & NeurologyPsychiatry38415NORTH CAROLINAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1890283KMEDICAIDNORTH 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

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