# TPM ADDICTIVE AND BEHAVIORAL PSYCHOTHERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** TPM Home Health Agency
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861033938
- **Authorized official:** KRIS WILLIAMS-FALCON PHD, MBA (OWNER AND CEO)
- **Authorized official phone:** (910) 248-9180

## Contact information

- **Practice address:** 373 PITTMAN GROVE CHURCH RD, RAEFORD, NC 28376-7935
- **Practice address phone:** (910) 248-9180
- **Practice address fax:** (877) 519-9597
- **Mailing address:** 373 PITTMAN GROVE CHURCH RD, RAEFORD, NC 28376-7935
- **Mailing address phone:** (910) 248-9180
- **Mailing address fax:** (877) 519-9597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 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