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Organization
FAMILY SERVICE OF THE PIEDMONT, INC.
Active
Organization
FAMILY SERVICE OF THE PIEDMONT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY ANN BROWN (CONTRACTS ADMINISTRATOR)
(336) 889-6105
Entity
Organization
Contact information
Practice address
308 BOULEVARD ST, HIGH POINT, NC 27262-3802
(336) 889-6105
(336) 387-9167
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 889-6105
(336) 387-9167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
10/07/2019
Last updated
05/20/2024
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