Organization
TRIUMPH LLC
Active
Parent organization
TRIUMPH LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIUMPH LLC
Authorized official
HAROLD E JONES JR. (MEMBER MGR./OWNER)
(919) 256-0824
Entity
Organization
Contact information
Practice address
209 MILLSTONE DR, STE. B, HILLSBOROUGH, NC 27278-8776
(919) 245-1056
(919) 245-1057
Mailing address
3210 FAIRHILL DR, RALEIGH, NC 27612-3215
(919) 256-0824
(919) 256-0833
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NC
103TC0700X
Clinical Psychologist
—
NC
1041C0700X
Clinical Social Worker
—
NC
2084P0800X
Psychiatry Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5908529
—
NC
Enumeration date
12/28/2007
Last updated
10/22/2010
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