Provider Demographics
NPI:1033085592
Name:TDT COUNSELING SERVICES
Entity type:Organization
Organization Name:TDT COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:RAPOSO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:984-268-8064
Mailing Address - Street 1:352 VINTAGE POINT LN
Mailing Address - Street 2:
Mailing Address - City:WENDELL
Mailing Address - State:NC
Mailing Address - Zip Code:27591-6858
Mailing Address - Country:US
Mailing Address - Phone:984-268-8064
Mailing Address - Fax:984-297-8015
Practice Address - Street 1:352 VINTAGE POINT LN
Practice Address - Street 2:
Practice Address - City:WENDELL
Practice Address - State:NC
Practice Address - Zip Code:27591-6858
Practice Address - Country:US
Practice Address - Phone:984-268-8064
Practice Address - Fax:984-297-8015
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-13
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA14998764OtherCAQH