Thera-Peds

LBN: Thera-Peds
Thera-Peds is an health care organization with primary practice located at 1214 Parkway Drive , Goldsboro NC 27534-3448. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Thera-Peds can be contacted via phone (919) 739-0047, or through Pate, Marjorie via phone (919) 739-0047.

Contact Information

Primary practice address
1214 Parkway Drive Goldsboro NC 27534-3448
Phone: (919) 739-0047
Fax: (919) 739-0041
Website:
Map and Directions
Authorized official contact:
Name: Pate, Marjorie OTR L
Phone: (919) 739-0047

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1033315734
LBN Legal business name Thera-Peds
DBA Doing business as
Authorized official Pate, Marjorie OTR L
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2007
Last updated Nov 17th, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033315734 NPPES
North Carolina MEDICAID 6005202

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