Diagon Theraputic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

DIAGON THERAPUTIC LLC

Practice address

413 W Main Ave
Suite 120
Gastonia, NC 28052-3896

Phone

(704) 890-2192

Fax

(704) 974-6213

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Traci Scott MorrowNPI 1831450493

Title

Therapist

Phone

(704) 890-2192

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Traci Scott Morrow, LPC, LCAS, CRC

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1831450493
  NPD (past) Authorized official

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1235485871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 SACCO ST",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280123059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 W MAIN AVE",
            "address_2": "SUITE 120",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280523896",
            "telephone_number": "704-890-2192",
            "fax_number": "704-974-6213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGON THERAPUTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "704-890-2192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6115013",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Noelle Devoe, CRNA
• Renee Raimondi Deweese, MD
• Gunjan Dhawan, OTR/L
• Birat Dhungel, M.D.
• Natalie Grace Di Blasi, LCSWA
• Fatoumata Diallo, PMHNP
• Diamond Behavior LLC
• Claudia Diaz
• Hayley Savannah Diaz, PT, DPT
• Larissa Ann Dibella, D.C.

• Community/Behavioral Health Agency in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.