Provider Demographics
NPI:1679758163
Name:TORIELLO, PAUL JOHN (CCS, LCAS, LCHMC)
Entity Type:Individual
Prefix:DR
First Name:PAUL
Middle Name:JOHN
Last Name:TORIELLO
Suffix:
Gender:M
Credentials:CCS, LCAS, LCHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-8667
Mailing Address - Country:US
Mailing Address - Phone:252-561-5703
Mailing Address - Fax:252-744-6302
Practice Address - Street 1:620 ARBOR DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-9552
Practice Address - Country:US
Practice Address - Phone:252-561-5703
Practice Address - Fax:252-744-6302
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9881101YM0800X
NC1028101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)