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THE PATTON PRACTICE NPI 1285019240


NPI Information

NPI: 1285019240
Provider Name: THE PATTON PRACTICE
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
1108 GRECADE ST
SUITE 203
GREENSBORO, NC
ZIP 27408
Phone: (336) 663-8802
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THE PATTON PRACTICE is an addiction (substance use disorder) counselor in Greensboro, NC. THE PATTON PRACTICE NPI is 1285019240. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1108 GRECADE ST
SUITE 203
GREENSBORO, NC
ZIP 27408-729
Phone: (336) 663-8802
Fax: (336) 663-8805

The provider's authorized official is Theresa Ann Kennedy Patton .
The authorized official title is Owner and has the following contact phone number (336) 663-8802.

The enumeration date for this NPI number is 7/20/2015 and was last updated on 7/20/2015.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)1804NORTH CAROLINAYes

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
11114210721OTHERNORTH CAROLINABLUE CROSS BLUE SHIELD NC

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

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