KINGSBERRY COUNSELING SERVICES PLLC NPI 1255877296

NPI Information

NPI: 1255877296
Provider Name: KINGSBERRY COUNSELING SERVICES, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
421 PAIGEBROOK DR
WINSTON SALEM, NC
ZIP 27106
Phone: (336) 575-5948
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KINGSBERRY COUNSELING SERVICES, PLLC is a mental health counselor in Winston Salem, NC. KINGSBERRY COUNSELING SERVICES, PLLC NPI is 1255877296. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

421 PAIGEBROOK DR
WINSTON SALEM, NC
ZIP 27106-744
Phone: (336) 575-5948

The provider's authorized official is John Travis Thacker .
The authorized official title is Owner and has the following contact phone number (336) 575-5948.

The enumeration date for this NPI number is 1/14/2017 and was last updated on 1/14/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	20293	NORTH CAROLINA	No
2	101YM0800X	Counselor	Mental Health	9455	NORTH CAROLINA	Yes
3	225C00000X	Rehabilitation Counselor		00115237	NORTH CAROLINA	No

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: 11/14/2023

NPI Synchronization or Removal

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