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Organization
BANYAN TREE COUNSELING PLLC
Active
Organization
BANYAN TREE COUNSELING PLLC
Active
Other names
Banyan Tree Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL HAYES LCMHCS (OWNER/DIRECTOR)
(910) 599-0218
Entity
Organization
Contact information
Practice address
3305 HEALY DR, WINSTON SALEM, NC 27103-1406
(336) 448-4451
(336) 450-1884
Mailing address
3303 HEALY DR STE B, WINSTON SALEM, NC 27103-1569
(336) 448-4451
(336) 450-1884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
01/27/2020
Last updated
09/05/2026
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