Organization
THERAPEUTIC INTERVENTION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTWAN ADAMS (OPERATIONS)
(252) 258-4783
Entity
Organization
Contact information
Practice address
340 N SAM HOUSTON PKWY E STE A217, HOUSTON, TX 77060-3305
(252) 258-4783
Mailing address
4803 RED BRUSH DR, MC LEANSVILLE, NC 27301-9314
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/03/2020
Last updated
04/25/2022
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