Provider Demographics
NPI:1508563131
Name:NATIVE SOLUTIONS THERAPEUTIC SERVICES, PLLC
Entity Type:Organization
Organization Name:NATIVE SOLUTIONS THERAPEUTIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ELZETTER
Authorized Official - Middle Name:MARIA
Authorized Official - Last Name:NORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:MA ED, NCC, LCMHCA
Authorized Official - Phone:910-827-5585
Mailing Address - Street 1:168 BLAIR DR
Mailing Address - Street 2:
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28360-1798
Mailing Address - Country:US
Mailing Address - Phone:910-827-5855
Mailing Address - Fax:
Practice Address - Street 1:707 UNION CHAPEL RD
Practice Address - Street 2:
Practice Address - City:PEMBROKE
Practice Address - State:NC
Practice Address - Zip Code:28372-8689
Practice Address - Country:US
Practice Address - Phone:910-785-2556
Practice Address - Fax:866-427-5310
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty