Therapy Flow

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6904 Issued in NC

Legal business name

THERAPY FLOW

Practice address

824 Gum Branch Rd
Suite B. Room 4
Jacksonville, NC 28540-6272

Phone

(910) 265-2919

Fax

(910) 355-2427

NPI assigned

Nov 7, 2011

Organization subpart

No

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

Authorized official

Name

Jeff Teddy Flowers

Title

Ceo

Phone

(910) 265-2919

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1320624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1619254505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 GUM BRANCH RD",
            "address_2": "SUITE B. ROOM 4",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406272",
            "telephone_number": "910-265-2919",
            "fax_number": "910-355-2427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GUM BRANCH RD",
            "address_2": "SUITE B. ROOM 4",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285406272",
            "telephone_number": "910-265-2919",
            "fax_number": "910-355-2427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY FLOW",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-07",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "FLOWERS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "TEDDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "910-265-2919"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "6904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6104045",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.