Triumph, LLC

NPI #1275796112 in Danbury, North Carolina

Provider Information

NPI Number: 1275796112
Entity Type: Organization
Organization Name: Triumph, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: TRIUMPH, LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Jul 9, 2008
Last Updated: Jul 9, 2008

Practice Location

Address: 104 KING CIRCLE
City: Danbury
State: North Carolina
ZIP Code: 27016-7634
Phone: (336) 593-8900

Authorized Official

Name: TALESHA MONIQUE ROLLOCK
Title: ASST. MANAGER/PROVIDER ENROLLMENT
Phone: (919) 256-0824

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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