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NPI Code Detail

MEDICARE: RESEARCH TRIANGLE COUNSELING PLLC

MEDICARE: RESEARCH TRIANGLE COUNSELING PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1679297618
Entity Type Code : Organization
Provider Name (Legal Business Name) : RESEARCH TRIANGLE COUNSELING PLLC
Provider Business Mailing Address
First Line : 65 TW ALEXANDER DR UNIT 13437
Second Line :
City : DURHAM
State : NC
Zip : 27709-0862
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 PARK OFFICE DR
Second Line : SUITE 3410
City : DURHAM
State : NC
Zip : 27709-2770
Country : US
Telephone Number : 919-355-6449
Fax Number :
Authorized Official
Title or Position : PRACTICE OWNER
Name : KHALILAH Z SLADE
Credential : LCMHC, LCAS,CSI
Telephone Number : 919-454-5383
Provider Enumeration Date : 10/03/2022
Last Update Date : 10/24/2022

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Directions to “RESEARCH TRIANGLE COUNSELING PLLC ” Practice Location

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