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Prosource Therapeutics LLC

Professional Counselor in Greenville, NC · enumerated 2006 · authorized official Phyllis Smith, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992758429

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Registry record

Entity type Organization (Type 2)
Legal business name Prosource Therapeutics LLC
Practice address 102 Fox Haven Dr, Suite A, Greenville, NC, 27858
Phone (252) 353-7025
Fax (252) 353-7028
Enumeration date May 18, 2006
Last updated in NPPES Mar 26, 2009

Taxonomy & classification

101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 2971 (NC) Primary

Authorized official

Name Phyllis Smith
Title Administrator
Phone (252) 353-7025

Other identifiers

Identifier Type State Issuer
017PN Other NC NC BLUE CROSS BLUE SHIELD
6005734 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Prosource Therapeutics LLC?
NPPES lists Phyllis Smith (Administrator) as the authorized official for this organization.
What is the NPI number for Prosource Therapeutics LLC?
The NPI for Prosource Therapeutics LLC is 1992758429, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-26.