| Dominating Therapeutic Services, Pllc | |
|
1202 E Fire Tower Rd Ste B Greenville NC 27858-4196 | |
| (919) 337-2644 | |
| (919) 882-9289 |
| Full Name | Dominating Therapeutic Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 1202 E Fire Tower Rd Ste B, Greenville, North Carolina |
| Authorized Official Name and Position | Tara Sandrea King (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2525316226 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominating Therapeutic Services, Pllc 418 Farmingwood Rd Greenville NC 27858-8786 Ph: (252) 531-6226 | Dominating Therapeutic Services, Pllc 1202 E Fire Tower Rd Ste B Greenville NC 27858-4196 Ph: (919) 337-2644 |
| NPI Number | 1871276998 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 09/29/2023 |
| Certification Date | 09/29/2023 |
| Medicare PECOS PAC ID | 5698139368 |
|---|---|
| Medicare Enrollment ID | O20230913003179 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871276998 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164879854 PECOS PAC ID: 8527422294 Enrollment ID: I20230913003979 |
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