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Organization
YELLOW WOOD TALK THERAPY, LLC
Active
Organization
YELLOW WOOD TALK THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL ANTHONY MASTROVITO LCSW (CEO)
(828) 493-0759
Entity
Organization
Contact information
Practice address
5256 EIDER LN, GRANITE FALLS, NC 28630-8754
(828) 493-0759
(828) 212-0466
Mailing address
5256 EIDER LN, GRANITE FALLS, NC 28630-8754
(828) 493-0759
(828) 212-0466
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C004644
NC
Other
Enumeration date
06/06/2016
Last updated
09/28/2020
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