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Contact Information

PSYCHOLOGICAL THERAPEUTIC RESOURCES LLC
504 POLLOCK STREET
NEW BERN, NC28562
 Phone: 252-638-3881
 Fax: 252-638-8820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for PSYCHOLOGICAL THERAPEUTIC RESOURCES LLC

NPI # 1508941238
LBN Legal business name PSYCHOLOGICAL THERAPEUTIC RESOURCES LLC
Authorized official CINDY LAMM - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/25/2006
Last updated 09/11/2025 - About 9 months ago
Identifiers
NC License # 5004
NC Medicaid 6005204
NC Other 0245R BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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