Provider Demographics
NPI:1104634047
Name:TEAMS LLC
Entity type:Organization
Organization Name:TEAMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JUDITHE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS-INGRAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:980-230-1263
Mailing Address - Street 1:201 W MAIN ST STE 316
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27701-3228
Mailing Address - Country:US
Mailing Address - Phone:980-230-1263
Mailing Address - Fax:
Practice Address - Street 1:12923 PLUMLEAF DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28213-4885
Practice Address - Country:US
Practice Address - Phone:980-230-1263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-24
Last Update Date:2024-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management