Healthcare Provider Details

I. General information

NPI: 1356139778
Provider Name (Legal Business Name): MAPS THERAPEUTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2025
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5315 HIGHGATE DR STE 103
DURHAM NC
27713-6623
US

IV. Provider business mailing address

3100 GENLEE DR
DURHAM NC
27704-1883
US

V. Phone/Fax

Practice location:
  • Phone: 919-283-3484
  • Fax:
Mailing address:
  • Phone: 571-723-1252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. MAURCUS HARRIS
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: MSW, LCSW
Phone: 571-723-1252