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NPI 1093375354

NPI 1093375354 : TRUE HORIZONS INC : RALEIGH, NC

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General NPI Number Information
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    NPI Number           |    1093375354
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRUE HORIZONS INC 
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Dates
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    Enumeration Date     |    06/19/2019
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    Last Update Date     |    06/19/2019
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Provider Practice Location Address
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    Address Line         |    2949 NEW BERN AVE 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27610-1248
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    Country              |    US
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    Telephone            |    919-306-0809
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    4215 VIEWMONT DR 
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    City                 |    RALEIGH
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    State                |    NC
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    Zip                  |    27610-5330
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    Country              |    US
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    Telephone            |    919-306-0809
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    Fax                  |    919-212-8158
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Authorized Official
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    Title or Position    |    FOUNDER
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    Name                 |     LADONNA  CLARK 
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    Credential           |    
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    Telephone            |    919-306-0809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    106S00000X
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    Taxonomy Name        |    Behavior Technician
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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