Provider Demographics
NPI:1013763499
Name:THERAPY BY ADRIANA
Entity Type:Organization
Organization Name:THERAPY BY ADRIANA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIANA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:GOMEZ-NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:919-297-8175
Mailing Address - Street 1:703 W DURHAM ST
Mailing Address - Street 2:
Mailing Address - City:KILL DEVIL HILLS
Mailing Address - State:NC
Mailing Address - Zip Code:27948-8276
Mailing Address - Country:US
Mailing Address - Phone:252-202-3992
Mailing Address - Fax:252-417-7982
Practice Address - Street 1:703 W DURHAM ST
Practice Address - Street 2:
Practice Address - City:KILL DEVIL HILLS
Practice Address - State:NC
Practice Address - Zip Code:27948-8276
Practice Address - Country:US
Practice Address - Phone:252-202-3992
Practice Address - Fax:252-417-7982
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-26
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty