Organization
TRIUMPH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HAROLD JONES (MBR MGR)
(919) 256-0824
Entity
Organization
Contact information
Practice address
189 SAMARITAN RIDGE ROAD, ELKIN, NC 28621-2452
(336) 526-8335
Mailing address
189 SAMARITAN RIDGE ROAD, ELKIN, NC 28621-2452
(336) 526-8335
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5902796
—
NC
05
—
6005738
—
NC
Enumeration date
12/12/2006
Last updated
09/11/2025
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