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Organization
TRIUMPH, LLC
Active
Organization
TRIUMPH, LLC
Active
Parent organization
TRIUMPH, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIUMPH, LLC
Authorized official
MR. HAROLD E JONES JR. (MEMBER MGR./OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
3708 MAYFAIR ST, SOUTH SQUARE 2, DURHAM, NC 27707-6226
(919) 683-1800
(919) 489-7108
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NC
103T00000X
Psychologist
—
NC
1041C0700X
Clinical Social Worker
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006415
—
NC
Enumeration date
03/04/2008
Last updated
04/24/2009
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