Provider Demographics
NPI:1174769806
Name:TR CONSULTING, PLLC
Entity type:Organization
Organization Name:TR CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:T
Authorized Official - Last Name:REIVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-774-3399
Mailing Address - Street 1:PO BOX 2041
Mailing Address - Street 2:
Mailing Address - City:SANFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27331-2041
Mailing Address - Country:US
Mailing Address - Phone:919-774-3399
Mailing Address - Fax:919-774-3401
Practice Address - Street 1:900 S VANCE ST
Practice Address - Street 2:SUITE 140
Practice Address - City:SANFORD
Practice Address - State:NC
Practice Address - Zip Code:27330-4774
Practice Address - Country:US
Practice Address - Phone:919-774-3399
Practice Address - Fax:919-774-3401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-30
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7201101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6006625Medicaid