Graham Moore & Clark, LLC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

1222 Issued in NC

Legal business name

GRAHAM MOORE & CLARK, LLC

Practice address

4086 Barrett Dr
Raleigh, NC 27609-6604

Phone

(919) 710-7332

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Terrence Wayne Graham, MS, LCAS

Title

Therapist

Phone

(919) 710-7332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446422400000",
    "number": "1649441510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46043",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276206043",
            "telephone_number": "919-710-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4086 BARRETT DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096604",
            "telephone_number": "919-710-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM MOORE & CLARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2015-11-02",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "919-710-7332",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Patricia Graddy
• Elizabeth A Grady, LPCS, NCC, DCC
• Grace Graebel, LCMHCA, MT-BC
• Anthony Gragg, D.M.D., M.S.
• Shiquita Marie Graham Hyman, M.S.
• Aviqon Shantell Graham, MSW
• Diana Rachel Graham, M.D.
• Eboney Graham
• Ehvan Graham
• Elisabeth Rowan Graham, MS OTR L

• Addiction (Substance Use Disorder) Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Addiction (Substance Use Disorder) Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2015; 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.