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General NPI Number Information
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NPI Number | 1841816006
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Entity Type | Organization
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Legal Business Name | TOTTEN THERAPEUTIC SERVICES, PLLC
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 5874 FARINGDON PL
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City | RALEIGH
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State | NC
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Zip | 27609-3932
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Country | US
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Telephone | 919-714-9932
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Fax |
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Provider Business Mailing Address
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Address Line | 3434 KILDAIRE FARM RD STE 135
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City | CARY
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State | NC
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Zip | 27518-2278
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Country | US
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Telephone | 984-365-8022
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TIARA TOTTEN
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Credential | LCMHC, LCAS, CCS
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Telephone | 984-365-8022
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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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 | 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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