| Capturing Therapeutic Development Pllc | |
|
620 Memorial Dr E Ahoskie NC 27910-3936 | |
| (252) 287-6078 | |
| Not Available |
| Full Name | Capturing Therapeutic Development Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 620 Memorial Dr E, Ahoskie, North Carolina |
| Authorized Official Name and Position | Carmelita Edwards (OWNER) |
| Authorized Official Contact | 2522876078 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capturing Therapeutic Development Pllc 620 Memorial Dr E Ahoskie NC 27910-3936 Ph: (252) 287-6078 | Capturing Therapeutic Development Pllc 620 Memorial Dr E Ahoskie NC 27910-3936 Ph: (252) 287-6078 |
| NPI Number | 1407339435 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 09/20/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407339435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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