Healthcare Provider Details

I. General information

NPI: 1851805980
Provider Name (Legal Business Name): TALENT LEARNING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2017
Last Update Date: 06/11/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8305 SIX FORKS RD STE 207
RALEIGH NC
27615-3007
US

IV. Provider business mailing address

8305 SIX FORKS RD STE 207
RALEIGH NC
27615-3007
US

V. Phone/Fax

Practice location:
  • Phone: 919-232-0090
  • Fax: 919-573-9553
Mailing address:
  • Phone: 919-232-0090
  • Fax: 919-573-9553

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. GREGORY ALLEN HUNTINGTON
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 919-232-0090