Healthcare Provider Details

I. General information

NPI: 1841816006
Provider Name (Legal Business Name): TOTTEN THERAPEUTIC SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2020
Last Update Date: 09/12/2024
Certification Date: 09/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5874 FARINGDON PL
RALEIGH NC
27609-3932
US

IV. Provider business mailing address

3434 KILDAIRE FARM RD STE 135
CARY NC
27518-2278
US

V. Phone/Fax

Practice location:
  • Phone: 919-714-9932
  • Fax:
Mailing address:
  • Phone: 984-365-8022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TIARA TOTTEN
Title or Position: OWNER
Credential: LCMHC, LCAS, CCS
Phone: 984-365-8022