GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC NPI 1396256426

NPI Information

NPI: 1396256426
Provider Name: GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
3703 W MARKET ST STE A
GREENSBORO, NC
ZIP 27403
Phone: (336) 282-1251
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GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC is a psychiatric/mental health nurse practitioner in Greensboro, NC. GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC NPI is 1396256426. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3703 W MARKET ST STE A
GREENSBORO, NC
ZIP 27403-300
Phone: (336) 282-1251
Fax: (336) 282-1252

The provider's authorized official is Leslie Camille Oneal Brewington .
The authorized official title is Nurse Practitioner and has the following contact phone number (336) 282-1251.

The enumeration date for this NPI number is 10/16/2017 and was last updated on 9/8/2023.

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	363LF0000X	Nurse Practitioner	Family	201644	NORTH CAROLINA	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	201644	NORTH CAROLINA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1912033689	MEDICAID	NORTH CAROLINA
2	1538183447	MEDICAID	NORTH 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

NPI Synchronization or Removal

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