Provider Demographics
NPI:1083918734
Name:THERAPEUTIC RESOLUTIONS, INC
Entity Type:Organization
Organization Name:THERAPEUTIC RESOLUTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:L
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCASP
Authorized Official - Phone:252-327-6817
Mailing Address - Street 1:331 PRIMROSE LN
Mailing Address - Street 2:
Mailing Address - City:WINTERVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28590-9725
Mailing Address - Country:US
Mailing Address - Phone:252-327-6817
Mailing Address - Fax:
Practice Address - Street 1:331 PRIMROSE LN.
Practice Address - Street 2:
Practice Address - City:WINTERVILLE
Practice Address - State:NC
Practice Address - Zip Code:28590-9725
Practice Address - Country:US
Practice Address - Phone:252-327-6817
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-10
Last Update Date:2011-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health