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General NPI Number Information
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NPI Number | 1326274093
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Entity Type | Organization
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Legal Business Name | TRINITY PLACE RISING SOLUTIONS, INC.
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Dates
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Enumeration Date | 06/08/2009
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 5501 EXECUTIVE CENTER DR STE 217
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City | CHARLOTTE
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State | NC
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Zip | 28212-8823
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Country | US
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Telephone | 980-949-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 16948 COMMONS CREEK DR
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City | CHARLOTTE
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State | NC
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Zip | 28277-2077
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Country | US
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Telephone | 704-293-1901
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | TAMARA HICKS
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Credential | MS, LCMHC
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Telephone | 980-949-8811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | A12067
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A12067
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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