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NORTH CAROLINA CHILDREN'S PLACE INC NPI 1932389475


NPI Information

NPI: 1932389475
Provider Name: NORTH CAROLINA CHILDREN'S PLACE, INC
Classification: Clinic/Center - 261QM0855X
Entity Type: Organization

Specialization: Adolescent and Children Mental Health

Address:
1001 S MARSHALL ST STE 256
WINSTON SALEM, NC
ZIP 27101
Phone: (336) 505-0379
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NORTH CAROLINA CHILDREN'S PLACE, INC is an adolescent and children mental health clinic center in Winston Salem, NC. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. NORTH CAROLINA CHILDREN'S PLACE, INC NPI is 1932389475. The provider is registered as an organization entity type.

The provider's business location address is:

1001 S MARSHALL ST STE 256
WINSTON SALEM, NC
ZIP 27101-852
Phone: (336) 505-0379

The provider's authorized official is Alicia Y Clodfelter .
The authorized official title is Vice President and has the following contact phone number (336) 449-9775.

The enumeration date for this NPI number is 11/13/2007 and was last updated on 11/19/2007.


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
1261QM0855XClinic/CenterAdolescent and Children Mental 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
18301260MEDICAIDNORTH 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

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