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Organization
THE RESILIENCY COLLABORATIVE
Active
Organization
THE RESILIENCY COLLABORATIVE
Active
Other names
Triangle Resiliency Collaborative
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY BLACKARD COOK LCSW (VOLUNTEER DIRECTOR)
(919) 504-1698
Entity
Organization
Contact information
Practice address
871 WASHINGTON ST, RALEIGH, NC 27605-1499
(919) 504-1698
Mailing address
871 WASHINGTON ST, RALEIGH, NC 27605-1499
(919) 504-1698
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
01/06/2022
Last updated
02/01/2022
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