TRUE OUTREACH (NPI# 1720648082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720648082 |
| Entity Type | Organization |
| Organization Name | TRUE OUTREACH |
| Practice Address |
833 Wake Forest Business Park Ste G Wake Forest NC 27587-7184 |
| Mailing Address |
4215 Viewmont Dr Raleigh NC 27610-5330 |
| Practice Telephone | 9193060809 |
| Mailing Telephone | 9193060809 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-08-21 |
| Authorized Official Name | LADONNA CLARK (THERAPIST) |
| Authorized Official Telephone | 9193060809 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 11836110 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2949 New Bern Ave Ste 109, Raleigh, NC 276101248 | 9193060809 | |
| 833 Wake Forest Business Park Ste G, Wake Forest, NC 275877184 | 9193060809 |
| Street Address |
833 WAKE FOREST BUSINESS PARK STE G |
| City | WAKE FOREST |
| State | NC |
| Zip Code | 27587-7184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831713080 | Catherine Restrepo | Speech-Language Pathologist | 900 S Franklin St, Ste 201, Wake Forest, NC 27587 | 2020-06-03 |
| 1942760277 | Samantha Fae Pugh | Occupational Therapist | 200 Dr. Calvin Jones Hwy, Suite 200, Wake Forest, NC 27587 | 2019-03-22 |
| 1851863609 | The Counseling Collective | Counselor | 1764 Heritage Center Drive, 204, Wake Forest, NC 27587 | 2018-12-18 |
| 1891270856 | Halston Hoke | Speech-Language Pathologist | 620 Dr. Calvin Jones Hwy Ste 200, Wake Forest, NC 27587 | 2018-09-26 |
| 1710465620 | Amy K Tarnowski | Physical Therapist | The Lodge At Wake Forest, 1151 South Main Street, Wake Forest, NC 27587 | 2018-08-02 |
| 1518452341 | Language and Literacy 365, Pllc | Speech-Language Pathologist | 956 Templeridge Rd, Wake Forest, NC 27587 | 2018-06-25 |
| 1467951723 | Justin Mitchell | Physical Therapist | 843 Durham Rd Suite 110, Wake Forest, NC 27587 | 2018-02-01 |
| 1124544499 | Carolina Concussion & Physical Medicine, Pllc | Chiropractor | 120 Capcom Aveune, Suite 104, Wake Forest, NC 27587 | 2017-08-18 |
| 1902293889 | Katherine Armine Lorch | Student in an Organized Health Care Education/Training Program | 3000 Rogers Road Ste 210, Wake Forest, NC 27587 | 2015-04-18 |
| 1437553302 | Raleigh Durham Medical Group, Pa | Family Medicine | 620 Dr Calvin Jones Highway, Ste 212, Wake Forest, NC 27587 | 2014-10-21 |
| Find all providers in zip 27587 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922527910 | Billie Anne Alexander Avery | Counselor | 8517 Bermondsey Market Way, Wake Forest, NC 27587-4887 | 2017-09-12 |
| 1376990887 | Lisa Lyn Hargrove | Counselor | 235 Sugar Maple Ave, Wake Forest, NC 27587-2280 | 2016-05-16 |
| 1831582618 | Keys To Recovery Counseling Services, Pllc | Counselor | 1784 Heritage Center Dr, Suite 204, Wake Forest, NC 27587-3989 | 2015-03-18 |
| 1679996268 | Joseph Spaulding Jr. | Counselor | 641 Wait Ave, Wake Forest, NC 27587-2729 | 2014-02-02 |
| 1295167450 | Keys To Recovery Counseling Services, Pllc | Counselor | 308 E Spring St, Wake Forest, NC 27587-2640 | 2013-07-30 |
| 1053665661 | Cynthia Wiggins-peppers | Counselor | 171 Spring Park Rd, Wake Forest, NC 27587-6209 | 2012-11-04 |
| 1609129915 | Nganje Nelson Nako | Counselor | 12316 Hampton Way Dr Ste 101-a, Wake Forest, NC 27587-6538 | 2012-10-24 |
| 1043599087 | Trg Health Care Systems LLC | Counselor | 150 North White St, Suite A, Wake Forest, NC 27587 | 2011-08-09 |
| 1396976783 | Wendy Reed Randall | Counselor | 6029 Clapton Dr, Wake Forest, NC 27587-4263 | 2009-08-03 |
| 1356582670 | Joseph Jordan | Counselor | 1325 Lagerfeld Way, Wake Forest, NC 27587-1643 | 2009-03-17 |
| Find all providers in WAKE FOREST | ||||
| City | WAKE FOREST |
| Zip Code | 27587 |
Please comment or provide details below to improve the information on TRUE OUTREACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.