| Triumph Llc | |
| 548 W Ridgeway St Warrenton NC 27589-1716 | |
| (252) 257-4071 | |
| Not Available | 
| Full Name | Triumph Llc | 
|---|---|
| Speciality | Social Worker - Clinical | 
| Location | 548 W Ridgeway St, Warrenton, North Carolina | 
| Authorized Official Name and Position | Brenda Frazier (PROVIDER ENROLLMENT SPECIALIST) | 
| Authorized Official Contact | 9192560824 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Triumph Llc 3210 Fairhill Dr Raleigh NC 27612-3220 Ph: (919) 256-0824 | Triumph Llc 548 W Ridgeway St Warrenton NC 27589-1716 Ph: (252) 257-4071 | 
| NPI Number | 1689710840 | 
|---|---|
| Provider Enumeration Date | 01/29/2007 | 
| Last Update Date | 07/30/2007 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1689710840 | NPI | - | NPPES | 
| 6005387 | Medicaid | NC | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary | 
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