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Organization
GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC
Active
Organization
GARDEN VILLAGE PSYCHIATRIC AND COUNSELING SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE CAMILLE ONEAL BREWINGTON PMHNP-BC (NURSE PRACTITIONER)
(336) 282-1251
Entity
Organization
Contact information
Practice address
3703 W MARKET ST STE A, GREENSBORO, NC 27403-1300
(336) 282-1251
(336) 282-1252
Mailing address
3703 W MARKET ST STE A, GREENSBORO, NC 27403-1300
(336) 282-1251
(336) 282-1252
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
201644
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201644
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538183447
—
NC
05
—
1912033689
—
NC
Enumeration date
10/16/2017
Last updated
09/08/2023
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