MRS. GEVONNA ARDELL GRAVES-WORNEY LCASA NPI 1306121959

NPI Information

NPI: 1306121959
Provider Name: MRS. GEVONNA ARDELL GRAVES-WORNEY, LCASA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
5166 FARM HOUSE TRL
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 829-4277
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MRS. Gevonna Ardell Graves-worney, LCASA is an addiction (substance use disorder) counselor in Winston Salem, NC. MRS. Gevonna Ardell Graves-worney, LCASA NPI is 1306121959. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5166 FARM HOUSE TRL
WINSTON SALEM, NC
ZIP 27103-394
Phone: (336) 829-4277
Fax: (336) 893-6324

The enumeration date for this NPI number is 10/14/2011 and was last updated on 10/9/2021.

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)	LCAS-22009	NORTH CAROLINA	Yes

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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