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Contact Information

MY THERAPY NC, PLLC
2579 HARRIS HENRIETTA RD.
MOORESBORO, NC28114
 Phone: 704-300-6922
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MY THERAPY NC, PLLC

NPI # 1336927425
LBN Legal business name MY THERAPY NC, PLLC
Authorized official JERRY WEASE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/19/2023
Last updated 09/19/2023 - About 3 years ago
Identifiers n/a
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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