Organization
PROVEN PROGRESS COUNSELING AND TRAUMA TREATMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE DUFFY-GILL LCSW (CHIEF EXECUTIVE OFFICER)
(919) 276-0626
Entity
Organization
Contact information
Practice address
4601 LAKE BOONE TRL STE 2D, RALEIGH, NC 27607-7503
(919) 276-0626
(844) 355-2247
Mailing address
9650 STRICKLAND RD STE 103-416, RALEIGH, NC 27615-1902
(919) 276-0626
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356664304
—
HI
Enumeration date
12/30/2018
Last updated
12/30/2018
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