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PYNK DYAMONDS BOUTIQUE LLC NPI 1447822242


NPI Information

NPI: 1447822242
Provider Name: PYNK DYAMONDS BOUTIQUE LLC
Classification: Clinic/Center - 261QD1600X
Entity Type: Organization

Specialization: Developmental Disabilities

Address:
3548 THORNABY CIR
WINSTON SALEM, NC
ZIP 27107
Phone: (336) 588-5943
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PYNK DYAMONDS BOUTIQUE LLC is a developmental disabilities clinic center in Winston Salem, NC. The provider is an entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). PYNK DYAMONDS BOUTIQUE LLC NPI is 1447822242. The provider is registered as an organization entity type.

The provider's business location address is:

3548 THORNABY CIR
WINSTON SALEM, NC
ZIP 27107-600
Phone: (336) 588-5943
Fax: (336) 293-6054

The provider's authorized official is Stephanie Armstrong-dessasau .
The authorized official title is Executive Director and has the following contact phone number (336) 588-5943.

The enumeration date for this NPI number is 7/13/2021 and was last updated on 7/13/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD1600XClinic/CenterDevelopmental DisabilitiesYes

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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