Trauma Recovery, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4102 Issued in NC

Legal business name

TRAUMA RECOVERY, LLC

Practice address

2910 Briarcliffe Rd
Suite B
Winston Salem, NC 27106-3176

Phone

(336) 682-3519

Fax

(336) 773-0332

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Max M McIntosh, LPCNPI 1972547941

Title

President

Phone

(336) 682-3519

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Max Marie McIntosh, LCMHC-S

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1972547941

  Professional

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1033476825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFFE RD",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063176",
            "telephone_number": "336-682-3519",
            "fax_number": "336-773-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 BRIARCLIFFE RD",
            "address_2": "SUITE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063176",
            "telephone_number": "336-682-3519",
            "fax_number": "336-773-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAUMA RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "MCINTOSH",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-682-3519",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "4102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Phillip Richmond Transou, PHARMD
• Nicholas Anthony Trasolini, M.D.
• Justin Ryan Traunero, M.D.
• Lisa M Traunero, O.D.
• Kevin Robert Travia, MD
• Leslie Travia, LCMHCA
• Travis & Michaels Construction Services, LLC (TW Construction Services, LLC)

• Professional Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.