Provider Demographics
NPI:1174212096
Name:MARIPOSA THERAPEUTIC SERVICES PLLC
Entity type:Organization
Organization Name:MARIPOSA THERAPEUTIC SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIBEL
Authorized Official - Middle Name:SOLEDAD
Authorized Official - Last Name:HURTADO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSWA
Authorized Official - Phone:919-253-5396
Mailing Address - Street 1:140 N STEELE ST STE 5
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27330-3967
Mailing Address - Country:US
Mailing Address - Phone:919-253-5396
Mailing Address - Fax:
Practice Address - Street 1:140 N STEELE ST STE 5
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-3967
Practice Address - Country:US
Practice Address - Phone:919-253-5396
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-05
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health