# THERAPY COLLAB PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992529234
- **Authorized official:** HOLLY RUSSELL LMFT (OWNER)
- **Authorized official phone:** (804) 814-7970

## Contact information

- **Practice address:** 111 SALEM TOWNE CT UNIT B, APEX, NC 27502-2311
- **Practice address phone:** (804) 814-7970
- **Mailing address:** 1939 NAPOLI DR, APEX, NC 27502-9662

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 01/13/2025