Organization
FAMILY INTERVENTION & PREVENTION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANYA VICTORIA SMITH BS, BA, MAT (EXECUTIVE DIRECTOR)
(919) 340-1626
Entity
Organization
Contact information
Practice address
211 COURT ST, LOUISBURG, NC 27549-2565
(919) 340-1626
Mailing address
211 COURT ST, LOUISBURG, NC 27549-2565
(919) 340-1626
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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