Organization
PROSPERITY RECOVERY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONY TOSH (CHIEF EXECUTIVE OFFICER)
(919) 636-0731
Entity
Organization
Contact information
Practice address
631 UNITED DR STE 100-B, DURHAM, NC 27713-1661
(919) 636-0731
Mailing address
631 UNITED DR STE 100-B, DURHAM, NC 27713-1661
(919) 636-0731
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0000
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
0000000
NC
101YM0800X
Mental Health Counselor
0000000
NC
101YP2500X
Professional Counselor
0000000
NC
103TA0400X
Addiction (Substance Use Disorder) Psychologist
0000000
NC
103TA0700X
Adult Development & Aging Psychologist
0000000
NC
103TC1900X
Counseling Psychologist
0000000
NC
103TH0100X
Health Service Psychologist
0000000
NC
103TR0400X
Rehabilitation Psychologist
00000000
NC
104100000X
Social Worker
000000
NC
1041C0700X
Clinical Social Worker
0000000
NC
106H00000X
Marriage & Family Therapist
00000000
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000
—
NC
Enumeration date
01/07/2015
Last updated
01/08/2015
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