PROSOURCE THERAPEUTICS, LLC
NPI 1720225014
Counselor - Professional in Tarboro, NC

Active since January 08, 2009
201 E PITT ST, TARBORO, NC 27886(252) 353-7025 Get Directions Write a Review

NPPES record last updated: January 8, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prosource Therapeutics, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROSOURCE THERAPEUTICS, LLC (NPI 1720225014) is a healthcare organization registered as a professional in Tarboro, North Carolina and active in the NPI registry since January 2009. The organization lists Felicia Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1720225014
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePROSOURCE THERAPEUTICS, LLC
Location Address201 E PITT STTarboro, NC 27886-5192
Mailing Address102 Fox Haven Dr Ste AGreenville, NC 27858-9720 · (252) 353-7025
Organization SubpartNo
Authorized OfficialFelicia SmithAdministrator · (252) 353-7025
Enumeration DateJanuary 8, 2009
NPI 1720225014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
201 E PITT ST, Tarboro, NC 27886

Other Identifiers 2

Other017PNNC · Nc Blue Cross Blue Shield
Medicaid6005734NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
201 E PITT ST, SUITE 101
TARBORO, NC 27886
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
201 E PITT ST, SUITE 208-209
TARBORO, NC 27886
Community/Behavioral Health
201 E PITT ST, STE 207-208 (EDGECOMBE PROF. BLDG)
TARBORO, NC 27886
Substance Abuse Rehabilitation Facility
201 E PITT ST, SUITE 201
TARBORO, NC 27886
Case Management
201 E PITT ST, SUITE 102
TARBORO, NC 27886

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prosource Therapeutics, LLC's NPI number?

The NPI number for Prosource Therapeutics, LLC is 1720225014. It was assigned to this organization in the NPPES registry on January 8, 2009.

Where is Prosource Therapeutics, LLC located?

Prosource Therapeutics, LLC is located at 201 E Pitt St, Tarboro, NC 27886. The listed phone number is (252) 353-7025.

What is Prosource Therapeutics, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Prosource Therapeutics, LLC was last updated on January 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.