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Organization
SACRED EARTH HEALING VILLAGE PLLC
Active
Organization
SACRED EARTH HEALING VILLAGE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRYSTIN JHEREL FULLWOOD LCMHC (OWNER)
(336) 280-9976
Entity
Organization
Contact information
Practice address
1451 S ELM EUGENE ST STE 2308, GREENSBORO, NC 27406-2200
(336) 303-8421
(336) 464-2137
Mailing address
1451 S ELM EUGENE ST STE 2308, GREENSBORO, NC 27406-2200
(336) 303-8421
(336) 464-2137
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/23/2025
Last updated
09/25/2025
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