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Organization
PERSONALIZED THERAPY INC
Active
Organization
PERSONALIZED THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBERLY BETH MCINTYRE LPC (PRESIDENT CLINICAL DIRECTOR)
(252) 353-4968
Entity
Organization
Contact information
Practice address
2313 EXECUTIVE CIR STE B, GREENVILLE, NC 27834-3744
(252) 353-4968
(252) 353-4967
Mailing address
2317 EXECUTIVE CIR STE B, GREENVILLE, NC 27834-3762
(252) 353-4968
(252) 353-4967
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
MHL074217
NC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8300828
—
NC
Enumeration date
11/07/2006
Last updated
07/19/2010
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