TRIUMPH LLC NPI 1962558916

NPI Information

  • NPI: 1962558916
  • Provider Name: TRIUMPH LLC
  • Classification: Psychiatry & Neurology - 2084P0800X
  • Specialization: Psychiatry
  • Entity Type: Organization
  • Address: 207 10TH ST
    SUITE 201
    N. WILKESBORO, NC
    ZIP 28659
  • Phone: (336) 667-1440

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NPI Details

TRIUMPH LLC is a psychiatry psychiatry neurology in N. Wilkesboro, 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. TRIUMPH LLC NPI is 1962558916. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

207 10TH ST
SUITE 201
N. WILKESBORO, NC
ZIP 28659-153
Phone: (336) 667-1440
Fax: (336) 667-1489

The provider's authorized official is Talesha Rollock .
The authorized official title is Provider Enrollment Specialist and has the following contact phone number (919) 256-0824.

The enumeration date for this NPI number is 1/25/2007 and was last updated on 3/2/2009.

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
1103TC0700XPsychologistClinicalNORTH CAROLINANo
21041C0700XSocial WorkerClinicalNORTH CAROLINANo
32084P0800XPsychiatry & NeurologyPsychiatryNORTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12335621AMEDICARE PINNORTH CAROLINA
22335621BMEDICARE PINNORTH CAROLINA
35905083MEDICAIDNORTH CAROLINA
42335621MEDICARE PINNORTH CAROLINA

What is NPI?

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This page was last updated on: 11/21/2025

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