TRUE OUTREACH NPI 1720648082

NPI Information

NPI: 1720648082
Provider Name: TRUE OUTREACH
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
833 WAKE FOREST BUSINESS PARK STE G
WAKE FOREST, NC
ZIP 27587
Phone: (919) 306-0809
Get Directions

TRUE OUTREACH is an addiction (substance use disorder) counselor in Wake Forest, NC. TRUE OUTREACH NPI is 1720648082. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

833 WAKE FOREST BUSINESS PARK STE G
WAKE FOREST, NC
ZIP 27587-184
Phone: (919) 306-0809

The provider's authorized official is Ladonna Clark .
The authorized official title is Therapist and has the following contact phone number (919) 306-0809.

The enumeration date for this NPI number is 6/19/2019 and was last updated on 8/21/2019.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103K00000X	Behavior Analyst		No
3	106S00000X	Behavior Technician		No
4	101YA0400X	Counselor	Addiction (Substance Use Disorder)	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	11836110	OTHER		CAQH

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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