Provider Demographics
NPI:1215548847
Name:DEPTH SOLUTIONS PLLC
Entity Type:Organization
Organization Name:DEPTH SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:PRIEST
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHCA, NCC
Authorized Official - Phone:984-208-3363
Mailing Address - Street 1:305 PAGE RD N STE 1
Mailing Address - Street 2:
Mailing Address - City:PINEHURST
Mailing Address - State:NC
Mailing Address - Zip Code:28374-0086
Mailing Address - Country:US
Mailing Address - Phone:984-208-3363
Mailing Address - Fax:
Practice Address - Street 1:305 PAGE RD N STE 6
Practice Address - Street 2:
Practice Address - City:PINEHURST
Practice Address - State:NC
Practice Address - Zip Code:28374-4619
Practice Address - Country:US
Practice Address - Phone:984-208-3363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-17
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty