# FAMILY SERVICE OF THE PIEDMONT, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740369321
- **Authorized official:** THOMAS CAMPBELL LPC (CEO)
- **Authorized official phone:** (336) 478-2017

## Contact information

- **Practice address:** 1401 LONG ST, HIGH POINT, NC 27262-2541
- **Practice address phone:** (336) 889-6161
- **Practice address fax:** (336) 387-9167
- **Mailing address:** 902 BONNER DR, JAMESTOWN, NC 27282-8948
- **Mailing address phone:** (336) 387-6161
- **Mailing address fax:** (336) 387-9167

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 1874 | NC | — |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/03/2006
- **Last updated:** 04/30/2014