# GREENSBORO DANCE & DRAMA THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greensboro Dance & Drama Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114697117
- **Authorized official:** ANGELA WILEY MA (OWNER)
- **Authorized official phone:** (336) 698-6723

## Contact information

- **Practice address:** 4112 SPRING GARDEN ST STE B, GREENSBORO, NC 27407-1652
- **Practice address phone:** (336) 698-6723
- **Mailing address:** 5603 W FRIENDLY AVE \# 103B, GREENSBORO, NC 27410-4274
- **Mailing address phone:** (336) 698-6723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 09/20/2021
- **Last updated:** 09/20/2021