Provider Demographics
NPI:1942976154
Name:TRUE NORTH INTEGRATED MENTAL HEALTH, PLLC
Entity Type:Organization
Organization Name:TRUE NORTH INTEGRATED MENTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, PMHNP-BC
Authorized Official - Phone:252-364-8972
Mailing Address - Street 1:102 OAKMONT DR STE 30
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-5770
Mailing Address - Country:US
Mailing Address - Phone:252-364-8972
Mailing Address - Fax:252-364-8971
Practice Address - Street 1:102 OAKMONT DR STE 30
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-5770
Practice Address - Country:US
Practice Address - Phone:252-364-8972
Practice Address - Fax:252-364-8971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-18
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1699986364OtherINDIVIDUAL NPI
NC1518158393OtherINDIVIDUAL NPI