Provider Demographics
NPI:1841816006
Name:TOTTEN THERAPEUTIC SERVICES, PLLC
Entity type:Organization
Organization Name:TOTTEN THERAPEUTIC SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIARA
Authorized Official - Middle Name:
Authorized Official - Last Name:TOTTEN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LCAS, CCS
Authorized Official - Phone:984-365-8022
Mailing Address - Street 1:3434 KILDAIRE FARM RD STE 135
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-2278
Mailing Address - Country:US
Mailing Address - Phone:984-365-8022
Mailing Address - Fax:
Practice Address - Street 1:5874 FARINGDON PL
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-3932
Practice Address - Country:US
Practice Address - Phone:919-714-9932
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder