Organization
TPM ADDICTIVE AND BEHAVIORAL PSYCHOTHERAPY
Active
Other names
TPM Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
KRIS WILLIAMS-FALCON PHD, MBA (OWNER AND CEO)
(910) 248-9180
Entity
Organization
Contact information
Practice address
373 PITTMAN GROVE CHURCH RD, RAEFORD, NC 28376-7935
(910) 248-9180
(877) 519-9597
Mailing address
373 PITTMAN GROVE CHURCH RD, RAEFORD, NC 28376-7935
(910) 248-9180
(877) 519-9597
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
09/30/2019
Last updated
09/30/2019
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