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

Third Wave Psychotherapy, PLLC

Organization Clinical Social Worker · NPI 1205219763

Third Wave Psychotherapy, PLLC is a Clinical Social Worker in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2015.

Licensed in
NC
In the registry since
2015
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5401 Six Forks Rd Ste 200
Raleigh, NC 27609-4462
Phone: (919) 886-4052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence C007721 (NC)

Record details

NPI number1205219763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Bryan Landaas — Owner · (919) 923-8752
NPI enumeratedJuly 2, 2015
Last updated in NPPESJanuary 4, 2022
Certification dateJanuary 4, 2022
Mailing address5401 Six Forks Rd Ste 200, Raleigh, NC 27609-4462

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