Organization
DOMINATING THERAPEUTIC SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TARA SANDREA ROACH MSW,LCSW,LCAS,CCSOTS (OWNER/PSYCHOTHERAPIST)
(252) 531-6226
Entity
Organization
Contact information
Practice address
2428 CHARLES BLVD STE 102, GREENVILLE, NC 27858-6052
(919) 882-9289
Mailing address
418 FARMINGWOOD RD, GREENVILLE, NC 27858-8786
(252) 531-6226
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
08/08/2023
Last updated
03/17/2025
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