Provider Type Icon

CHILDRENS HOME SOCIETY OF NC NPI 1255539235


NPI Information

NPI: 1255539235
Provider Name: CHILDRENS HOME SOCIETY OF NC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
604 MEADOW ST
GREENSBORO, NC
ZIP 27405
Phone: (336) 274-1538
Get Directions

CHILDRENS HOME SOCIETY OF NC is a mental health counselor in Greensboro, NC. CHILDRENS HOME SOCIETY OF NC NPI is 1255539235. The provider is registered as an organization entity type.

The provider's business location address is:

604 MEADOW ST
GREENSBORO, NC
ZIP 27405-600
Phone: (336) 274-1538
Fax: (336) 274-7347

The provider's authorized official is Kenneth E Tutterow .
The authorized official title is President and has the following contact phone number (336) 274-1538.

The enumeration date for this NPI number is 7/11/2007 and was last updated on 6/19/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral Health200501663NORTH CAROLINANo
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15909126MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.