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Organization
TRIAD THERAPY, LLC
Active
Organization
TRIAD THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. QUINCY ROCHELLE SMILING PH.D. (CEO)
(336) 896-0904
Entity
Organization
Contact information
Practice address
7830 N POINT BLVD, SUITE 201, WINSTON SALEM, NC 27106-3261
(336) 896-0904
Mailing address
PO BOX 12595, WINSTON SALEM, NC 27117-2595
(803) 720-4028
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
C001837
NC
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006089
—
NC
Enumeration date
03/16/2007
Last updated
02/13/2008
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