TRIUMPH LLC (NPI# 1275679425) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275679425 |
| Entity Type | Organization |
| Organization Name | TRIUMPH LLC |
| Practice Address |
1683b Us 401 Hwy South Louisburg NC 27549-6829 |
| Mailing Address |
3210 Fairhill Dr Raleigh NC 27612-3215 |
| Practice Telephone | 9194965827 |
| Practice Fax Number | 9194966452 |
| Mailing Telephone | 9192560824 |
| Mailing Fax Number | 9192560833 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-11-10 |
| Authorized Official Name | TALESHA M ROLLOCK (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 9192560824 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6005385 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477863330 | Triumph LLC | Psychiatry & Neurology | 355 S. Madison Blvd, Ste C2, Roxboro, NC 27573-5485 | 2010-10-13 |
| 1487969549 | Triumph LLC | Clinic/Center | 500 Millstone Dr, Ste 104 & 105, Hillsborough, NC 27278-9056 | 2010-08-13 |
| 1275847576 | Triumph LLC | Clinic/Center | 817 Meadowbrook Dr, King, NC 27021-8248 | 2010-07-29 |
| 1497905350 | Triumph LLC | Psychologist | 288 East Street, Suite 1002, Pittsboro, NC 27312-9759 | 2008-09-26 |
| 1558417584 | Triumph LLC | Community/Behavioral Health | 726 N Cherry St, Winston Salem, NC 27101-1419 | 2007-01-25 |
| 1558417592 | Triumph LLC | Psychiatry & Neurology | 3210 Fairhill Dr, Raleigh, NC 27612-3220 | 2007-01-25 |
| 1255485157 | Triumph LLC | Case Management | 309 Wyche St, Henderson, NC 27536-4246 | 2007-01-22 |
| 1639222516 | Triumph LLC | Counselor | 725 N Highland Ave, 2nd Floor, Winston Salem, NC 27101-4206 | 2007-01-22 |
| 1316008410 | Triumph LLC | Counselor | 189 Samaritan Ridge Road, Elkin, NC 28621-2452 | 2006-12-12 |
| 1467405746 | Triumph LLC | Counselor | 909 S Main St, Suite A, Burlington, NC 27215-5756 | 2006-05-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Triumph LLC | 8464 Portland Pl, Mclean, Virginia 22102 |
| Washington State Corporations | TRIUMPH LLC | 2601 76th Ave Se, Mercer Island, WA 98040-2624 |
| Oregon Corporations, Companies and Business Names | TRIUMPH LLC | 1030 Ne Yucca Ave, Redmond, OR 97756 |
| Street Address |
1683B US 401 HWY SOUTH |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549-6829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
| Find all providers in zip 27549 | ||||
| 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 |
|---|---|---|---|---|
| 1780224097 | Rebecca Ann Jester | Social Worker | 75 Joyful Ln, Louisburg, NC 27549-9301 | 2020-01-14 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1922592260 | Tiffany Baker | Social Worker | 216 N Bickett Blvd Ste 7, Louisburg, NC 27549-2473 | 2018-06-20 |
| 1851305171 | Carla Primo | Social Worker | 669 Sagamore Drive, Louisburg, NC 27549 | 2006-07-29 |
| 1457967762 | Tonya Yvonne Richards | Social Worker | 9033 Lake Royale, Louisburg, NC 27549-7208 | 2020-09-22 |
| 1275141483 | Tiana Blake | Social Worker | 9033 Lake Royale, Louisburg, NC 27549-7208 | 2020-07-14 |
| 1538786868 | Alexis N Richardson | Social Worker | 9033 Lake Royale, Louisburg, NC 27549-7208 | 2020-07-02 |
| 1821635970 | Kenrica Sands | Social Worker | 216 N Bickett Blvd Ste 7, Louisburg, NC 27549-2473 | 2019-12-09 |
| 1447811716 | Thomasina Lashey Williams | Social Worker | 669 Sagamore Drive, Louisburg, NC 27549 | 2019-06-26 |
| 1326534181 | Brittny Lassiter | Social Worker | 669 Sagamore Drive, Louisburg, NC 27549 | 2018-07-05 |
| Find all providers in LOUISBURG | ||||
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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.