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Organization
THERAPEUTIC RESOURCE ASSOCIATES PA
Active
Organization
THERAPEUTIC RESOURCE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA H PHAN MA, LPA (PRESIDENT)
(919) 247-4750
Entity
Organization
Contact information
Practice address
1618 US HWY 1 NORTH, YOUNGSVILLE, NC 27596-9219
(919) 247-4750
(919) 562-9917
Mailing address
1618 US HWY ONE NORTH, YOUNGSVILLE, NC 27596
(919) 247-4750
(919) 562-9917
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
2472
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139TH
BCBS
NC
05
—
6005851
—
NC
05
—
6107175
—
NC
Enumeration date
11/24/2006
Last updated
06/24/2022
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