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A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master?s degree and clinical experience and supervision for licensure or certification.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Counselor |
101Y00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Prescribing (Medical) |
103TP0016X | 62 | Psychologist, Clinical | |
Professional |
101YP2500X |
| NPI Number | 1275821597 |
| LBN Legal business name | THERAPEUTIC INTERVENTION GROUP, LLC |
| Authorized official | CARLTON GUNNING - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/20/2011 |
| Last updated | 09/21/2011 - About 15 years ago |
| Identifiers | n/a |
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THERAPEUTIC INTERVENTION GROUP, LLC
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THERAPEUTIC INTERVENTION GROUP, LLC