Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prosource Therapeutics LLC

Organization Professional Counselor · NPI 1992758429

Prosource Therapeutics LLC is a Professional Counselor in Greenville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

102 Fox Haven Dr Ste A
Greenville, NC 27858-7100
Phone: (252) 353-7025
Fax: (252) 353-7028
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2971 (NC)

Record details

NPI number1992758429
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Phyllis Smith — Administrator · (252) 353-7025
NPI enumeratedMay 18, 2006
Last updated in NPPESMarch 26, 2009
Mailing address102 Fox Haven Dr, Suite A, Greenville, NC 27858-7100

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