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Organization
TPM ADDICTIVE AND BEHAVIORAL PSYCHOTHERAPY
Active
Organization
TPM ADDICTIVE AND BEHAVIORAL PSYCHOTHERAPY
Active
Other names
TPM Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS WILLIAMS-FALCON PHD, MBA (OWNER AND CEO)
(910) 248-9180
Entity
Organization
Contact information
Practice address
373 PITTMAN GROVE CHURCH RD, RAEFORD, NC 28376-7935
(910) 248-9180
(877) 519-9597
Mailing address
373 PITTMAN GROVE CHURCH RD, RAEFORD, NC 28376-7935
(910) 248-9180
(877) 519-9597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
NULL
101YP1600X
Pastoral Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
—
NULL
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
NULL
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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