PROSOURCE THERAPEUTICS, LLC (NPI# 1811158546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811158546 |
| Entity Type | Organization |
| Organization Name | PROSOURCE THERAPEUTICS, LLC |
| Practice Address |
622 East Blvd Williamston NC 27892-2736 |
| Mailing Address |
102 Fox Haven Dr Suite A Greenville NC 27858-9720 |
| Practice Telephone | 2523537025 |
| Mailing Telephone | 2523537025 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | PHYLLIS SMITH (OWNER) |
| Authorized Official Telephone | 2523537025 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720225014 | Prosource Therapeutics, LLC | Counselor | 201 E Pitt St, Tarboro, NC 27886-5192 | 2009-01-08 |
| 1578799664 | Prosource Therapeutics, LLC | Social Worker | 7356 Us Highway 64, Robersonville, NC 27871-9073 | 2009-06-03 |
| Street Address |
622 EAST BLVD |
| City | WILLIAMSTON |
| State | NC |
| Zip Code | 27892-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841844388 | A Ray of Hope Enterprise LLC | Counselor | 115 E. Main St, Williamston, NC 27892 | 2019-08-01 |
| 1689145476 | Michael Thomas Parrella | Physician Assistant | 2150, 310 South Mccaskey Road, Williamston, NC 27892 | 2018-12-06 |
| 1285136762 | Myeyedr Optometry of North Carolina, Pllc | Optometrist | 1227 Brentway Ave, Williamston, NC 27892 | 2018-03-01 |
| 1528443843 | Jeanette Ruffin | Counselor | 223 Faith Works Community Svcs, Inc, Williamston, NC 27892 | 2015-07-28 |
| 1578719712 | Martin County Residential Services | Community/Behavioral Health | 6003 W. Main Street, Williamston, NC 27892 | 2008-08-07 |
| 1962662577 | Otis Benjamin Burnett Iv | Anesthesiology | 310 South Mckaskey Rd, Williamston, NC 27892 | 2008-06-17 |
| 1659543932 | Divine Intervention for Youth Inc. | Community/Behavioral Health | 203 Green Street, Williamston, NC 27892 | 2008-03-27 |
| 1568645521 | Earle Eugene Barnard | Physical Therapist | 115 West Boulevard, Williamston, NC 27892 | 2007-12-13 |
| 1124168141 | Martin County Residential Services Inc. | Case Manager/Care Coordinator | 6003 West Main Street, Williamston, NC 27892 | 2007-02-07 |
| 1962551374 | David T Marshburn | Dentist | 1025 Harrisway Drive, Williamston, NC 27892 | 2007-01-09 |
| Find all providers in zip 27892 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487192936 | Karen Margaret Newman | Social Worker | 440 E Riverside St, Williamston, MI 48895-1147 | 2017-02-04 |
| 1487018289 | Healing Journey Xvi Inc | Social Worker | 4549 Meridian Rd, Williamston, MI 48895-9417 | 2016-04-07 |
| 1013320449 | Jacqueline Urban | Social Worker | 137 E Newman Rd, Williamston, MI 48895-9329 | 2014-06-03 |
| 1649522459 | Carol Z Way | Social Worker | 870 Hickory Ln, Williamston, MI 48895-1042 | 2012-10-04 |
| 1912264656 | Tracie V Smith | Social Worker | 1403 Eli Bowen Rd, Williamston, NC 27892-7942 | 2012-04-19 |
| 1427365121 | Christie Manning Herring | Social Worker | 210 West Liberty Street, Williamston, NC 27892-0000 | 2010-09-02 |
| 1689706640 | Mary Therese Cavanagh | Social Worker | 3486 Moyer Rd, Williamston, MI 48895-9566 | 2007-03-12 |
| 1275676892 | Jorge Antonio Perdomo | Social Worker | 900 Greenville Drive, Williamston, SC 29697 | 2007-02-14 |
| 1306907209 | Norma J Sell | Social Worker | 3971 Woodpass Ln, Williamston, MI 48895-9044 | 2006-12-13 |
| 1861034704 | Young Mind Therapy, LLC | Social Worker | 1235 E Grand River Rd, Williamston, MI 48895-8303 | 2019-10-11 |
| Find all providers in WILLIAMSTON | ||||
| City | WILLIAMSTON |
| Zip Code | 27892 |
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| 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.