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General NPI Number Information
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NPI Number | 1548020951
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Entity Type | Organization
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Legal Business Name | GRACE WITHIN TRANSITIONS FOUNDATION
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Dates
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Enumeration Date | 03/21/2024
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 7000 HARPS MILL RD STE 102
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City | RALEIGH
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State | NC
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Zip | 27615-3241
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Country | US
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Telephone | 919-949-9117
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Fax |
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Provider Business Mailing Address
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Address Line | 7000 HARPS MILL RD STE 102
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City | RALEIGH
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State | NC
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Zip | 27615-3241
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Country | US
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Telephone | 919-949-9117
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TAMARA YOUNG
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Credential | DSW, MSW LCSWA LCASA
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Telephone | 919-289-9772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 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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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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