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Organization
THE WELL OF HOPE BEHAVIORAL SERVICES
Active
Organization
THE WELL OF HOPE BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLEY DIANE GRAY LCMHC (OWNER/SERVICE PROVIDER)
(919) 599-7751
Entity
Organization
Contact information
Practice address
5 CENTERVIEW DR STE 158, GREENSBORO, NC 27407-3709
(919) 599-7751
Mailing address
5 CENTERVIEW DR STE 158, GREENSBORO, NC 27407-3709
(919) 599-7751
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13734
LCMHC
NC
Enumeration date
02/24/2022
Last updated
01/17/2024
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