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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
HAROLD E JONES JR. (MEMBER MGR./OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
725 N HIGHLAND AVE, 2ND FLOOR, WINSTON SALEM, NC 27101-4206
(336) 607-8501
(336) 725-4030
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
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005575
—
NC
Enumeration date
01/22/2007
Last updated
04/24/2009
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