| Bull City Psychotherapy, Pllc | |
|
1816 Front St Ste 250 Durham NC 27705-2598 | |
| (919) 382-0288 | |
| Not Available |
| Full Name | Bull City Psychotherapy, Pllc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1816 Front St Ste 250, Durham, North Carolina |
| Authorized Official Name and Position | Sophia Dorton Caudle (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9196987061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bull City Psychotherapy, Pllc 1816 Front St Ste 250 Durham NC 27705-2598 Ph: (919) 382-0288 | Bull City Psychotherapy, Pllc 1816 Front St Ste 250 Durham NC 27705-2598 Ph: (919) 382-0288 |
| NPI Number | 1851842694 |
|---|---|
| Provider Enumeration Date | 10/17/2016 |
| Last Update Date | 10/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851842694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3539 (North Carolina) | Primary |
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