Triumph LLC
NPI #1760536460 in Mocksville, North Carolina
Provider Information
- NPI Number
- 1760536460
- Entity Type
- Organization
- Organization Name
- Triumph LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 22, 2007
- Last Updated
- Feb 24, 2009
Practice Location
- Address
- 119 W DEPOT ST
- City
- Mocksville
- State
- North Carolina
- ZIP Code
- 27028-2327
- Phone
- (336) 751-5636
Authorized Official
- Name
- MRS. TALESHA ROLLOCK
- Title
- PROVIDER ENROLLMENT SPECIALIST
- Phone
- (919) 256-0824
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
| Psychologist |
| Social Worker - Clinical — Clinical |
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