Healthcare Provider Details

I. General information

NPI: 1396763843
Provider Name (Legal Business Name): THERAPEUTIC ALTERNATIVES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4270 HEATH DAIRY ROAD
RANDLEMAN NC
27317
US

IV. Provider business mailing address

PO BOX 814
RANDLEMAN NC
27317-0814
US

V. Phone/Fax

Practice location:
  • Phone: 336-495-2700
  • Fax: 336-495-5552
Mailing address:
  • Phone: 336-495-2700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID DEAN WILSON
Title or Position: OWNER
Credential:
Phone: 336-495-2700