Organization
ONE BODY ONE SOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIRRELL L SUMMERS MBA (EXECUTIVE DIRECTOR)
(252) 375-5711
Entity
Organization
Contact information
Practice address
2465 JAY CIR, GREENVILLE, NC 27858-8777
(252) 375-5711
Mailing address
2465 JAY CIR, GREENVILLE, NC 27858-8777
(252) 375-5711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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