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Organization
ZEPHANIAH SERVICES PC
Active
Organization
ZEPHANIAH SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSIE OZETTA TROXLER PHD (OWNER/CLINICAL DIRECTOR)
(336) 324-1610
Entity
Organization
Contact information
Practice address
3409 W WENDOVER AVE STE E, GREENSBORO, NC 27407-1579
(336) 323-1385
(888) 959-2812
Mailing address
PO BOX 41167, GREENSBORO, NC 27404-1167
(336) 323-1385
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2790
NC
103T00000X
Psychologist
2790
NC
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
2790
NC
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6008819
—
NC
01
—
C986
MEDICARE PTAN
NC
Enumeration date
09/19/2012
Last updated
06/22/2021
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