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Organization
TRAUMA THERAPY CENTER
Active
Organization
TRAUMA THERAPY CENTER
Active
Other names
Trauma Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA ANZALDUA LCSW (CEO)
(843) 732-9340
Entity
Organization
Contact information
Practice address
1030 N ROGERS LN STE 121, RALEIGH, NC 27610-6083
(843) 732-9340
Mailing address
1030 N ROGERS LN STE 121, RALEIGH, NC 27610-6083
(843) 732-9340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
123456
PRIVATE PAY
NC
Enumeration date
11/20/2021
Last updated
11/20/2021
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