Organization
TRIAD PSYCHIATRIC AND COUNSELING CENTER PA
Active
Other names
TPCC, PA
Organization subpart
No
Provider details
NPI number
Authorized official
ROY KAVURI (ADMINSTRATOR)
(336) 632-3505
Entity
Organization
Contact information
Practice address
603 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-4282
(336) 632-3505
(336) 632-3503
Mailing address
603 DOLLEY MADISON RD STE 100, GREENSBORO, NC 27410-4283
(336) 632-3505
(336) 632-3503
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2270
NC
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
38415
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890283K
—
NC
Enumeration date
06/02/2006
Last updated
01/18/2024
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