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PROSOURCE THERAPEUTICS LLC
NPI 1992758429
Counselor - Professional in Greenville, NC

Active since May 18, 2006
102 FOX HAVEN DR, SUITE A, GREENVILLE, NC 27858(252) 353-7025(252) 353-7028 Get Directions Write a Review

NPPES record last updated: March 26, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prosource Therapeutics Llc NPPES

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

PROSOURCE THERAPEUTICS LLC (NPI 1992758429) is a healthcare organization registered as a professional in Greenville, North Carolina and active in the NPI registry since May 2006. The organization lists Phyllis Saunders Smith, Administrator, as its authorized official.

NPPES Registry Identity

NPI1992758429
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NamePROSOURCE THERAPEUTICS LLC
Location Address102 FOX HAVEN DR, SUITE AGreenville, NC 27858-7100
Mailing Address102 Fox Haven Dr, Suite AGreenville, NC 27858-7100 · (252) 353-7025 · Fax (252) 353-7028
Phone(252) 353-7025
Fax(252) 353-7028
Organization SubpartNo
Authorized OfficialPhyllis Saunders SmithAdministrator · (252) 353-7025
Enumeration DateMay 18, 2006
Last NPPES UpdateMarch 26, 2009
✔ NPI 1992758429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 2971
102 FOX HAVEN DR, Greenville, NC 27858
Open in Google Maps ↗

Other Identifiers 2

Medicaid6005734NC
Other017PNNC · Nc Blue Cross Blue Shield

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 2

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

ROBIN WALL LPC
Counselor (Mental Health)
102 FOX HAVEN DR, #A
GREENVILLE, NC 27858
Pitt County (252) 353-7025
MS. MARY KEENAN EVERETTE MSW, LCSW
Social Worker (Clinical)
102 FOX HAVEN DR, SUITE A
GREENVILLE, NC 27858
Pitt County (252) 353-7025

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 1992758429. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Prosource Therapeutics LLC located?

Prosource Therapeutics LLC is located at 102 Fox Haven Dr Suite A, Greenville, NC 27858. 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 March 26, 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.