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Organization
TRIAD HUMAN SERVICES, LLC
Active
Organization
TRIAD HUMAN SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL HARRIS MS, MBA, LPC, NCC (THERAPIST/OWNER)
(336) 259-7201
Entity
Organization
Contact information
Practice address
612 PASTEUR DR, SUITE 106, GREENSBORO, NC 27403-1120
(336) 259-7201
Mailing address
7725 FORDING BRIDGE RD, KERNERSVILLE, NC 27284-6343
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4911
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102699
—
NC
Enumeration date
08/13/2010
Last updated
08/13/2010
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