Organization
GROUP SERVICE SOLUTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUISE ROYAL THOMAS (OWNER)
(919) 822-2172
Entity
Organization
Contact information
Practice address
4801 GLENWOOD AVE, SUITE 200, RALEIGH, NC 27612-3856
(919) 822-2172
(888) 419-2433
Mailing address
4801 GLENWOOD AVE, SUITE 200, RALEIGH, NC 27612-3856
(919) 822-2172
(888) 419-2433
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103T00000X
Psychologist
Primary
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TH0004X
Health Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
08/04/2014
Last updated
08/11/2014
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