Organization
BULL CITY PSYCHOTHERAPY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIA DORTON CAUDLE PHD, LPC-S (OWNER/CLINICAL DIRECTOR)
(919) 698-7061
Entity
Organization
Contact information
Practice address
1816 FRONT ST STE 250, DURHAM, NC 27705-2598
(919) 382-0288
Mailing address
1816 FRONT ST STE 250, DURHAM, NC 27705-2598
(919) 382-0288
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3539
NC
Other
Enumeration date
10/17/2016
Last updated
10/17/2016
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