TELEPSYCH SUPPORTS PLLC


Address: 6500 Creedmoor Rd Ste 106, Raleigh, NC 27613-3698
Phone: 9195238817

TELEPSYCH SUPPORTS PLLC (NPI# 1841552866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841552866
Entity Type Organization
Organization Name TELEPSYCH SUPPORTS PLLC
Practice Address 6500 Creedmoor Rd Ste 106
Raleigh
NC 27613-3698
Practice Telephone 9195238817
Practice Fax Number 8885236763
Mailing Telephone 9195238817
Mailing Fax Number 8885236763
Enumeration Date 2012-06-14
Last Update Date 2012-06-14
Authorized Official Name DR. GEORGE VERGOLIAS (PRESIDENT)
Authorized Official Telephone 9195238817
Authorized Official Credential PSY.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 6500 CREEDMOOR RD STE 106
City RALEIGH
State NC
Zip Code 27613-3698

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

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1639716368 Monarch Community/Behavioral Health 1705 Beacon Bluff St, Raleigh, NC 27604-5446 2019-12-02
1700429396 Transcending Limits Counseling Services Pllc Community/Behavioral Health 3445 Teravista Way, Raleigh, NC 27616-9310 2019-10-25
1497397137 Ever-lasting Counseling Service LLC Community/Behavioral Health 7730 Sunfield Cir Apt 303, Raleigh, NC 27617-6762 2019-10-15
1285108373 Metro Treatment of North Carolina L P Community/Behavioral Health 3911 New Bern Ave, Raleigh, NC 27610-1332 2019-01-11
1932670999 Elevation Community Services, LLC Community/Behavioral Health 3712 Benson Dr Ste 201-202, Raleigh, NC 27609-7328 2018-12-16
1891297222 Saving Hope, LLC Community/Behavioral Health 2501 Lilymount Dr, Raleigh, NC 27610-3476 2018-03-01
1508370776 Resiliency In Recovery Community/Behavioral Health 3986 Cane Garden Dr, Raleigh, NC 27610-5696 2017-11-27
1467975318 Aci Support Specialists, LLC Community/Behavioral Health 6832 Planting Ct, Raleigh, NC 27610-8705 2017-07-24
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Competitor

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City RALEIGH
Zip Code 27613

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Dataset Information

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.

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