BULL CITY PSYCHOTHERAPY, PLLC (NPI# 1851842694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851842694 |
| Entity Type | Organization |
| Organization Name | BULL CITY PSYCHOTHERAPY, PLLC |
| Practice Address |
1816 Front St Ste 250 Durham NC 27705-2598 |
| Practice Telephone | 9193820288 |
| Mailing Telephone | 9193820288 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Authorized Official Name | DR. SOPHIA DORTON CAUDLE (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Telephone | 9196987061 |
| Authorized Official Credential | PHD, LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
3539 | NC | Behavioral Health & Social Service Providers |
| Street Address |
1816 FRONT ST STE 250 |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-2598 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814122 | Caroline Rutledge | Counselor | 1816 Front St Ste 250, Durham, NC 27705-2598 | 2019-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652710 | Myracle Clay Clay-bennett | Counselor | 2933 S Miami Blvd, Durham, NC 27703-8025 | 2020-09-02 |
| 1376160218 | Compass Family Therapy, Pllc | Counselor | 3326 Guess Rd Ste 207, Durham, NC 27705-2160 | 2020-06-26 |
| 1144857665 | Jennifer Saucier Simmons | Counselor | 212 Maiden Ln, Durham, CT 06422-2017 | 2020-03-25 |
| 1902457328 | Natalie Haskins Parmenter | Counselor | 5825 Sandstone Dr, Durham, NC 27713-1925 | 2019-09-26 |
| 1043780778 | Jessica Ann Revels | Counselor | 1415 West North Carolina 54, Building 100 Suite # 204, Durham, NC 27707 | 2018-11-26 |
| 1558830125 | Michael Brown | Counselor | 1502 W Nc-54, Suite 505, Durham, NC 27707 | 2018-11-13 |
| 1205314390 | Ashley Danielle Gilmore | Counselor | 48 Intuition Cir, Durham, NC 27705-2881 | 2018-08-01 |
| 1477060606 | Benjamin Christian Willcott | Counselor | 2612 N Roxboro St, Durham, NC 27704-4350 | 2018-01-09 |
| 1730632506 | Selena Waite | Counselor | 2309 Nebo St, Durham, NC 27707-4231 | 2016-07-28 |
| 1790156735 | Charlie Edwards Baldwin | Counselor | 6 W Bayberry Ct, Durham, NC 27713-9437 | 2015-10-16 |
| Find all providers in DURHAM | ||||
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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.