# SUPERIOR RESOURCE AND WELLNESS CENTER

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

## Provider details

- **NPI number:** 1891399184
- **Authorized official:** TARSHIA DONNELL (MANAGER)
- **Authorized official phone:** (336) 823-2345

## Contact information

- **Practice address:** 2216 W MEADOWVIEW RD STE 260, GREENSBORO, NC 27407-3406
- **Practice address phone:** (336) 823-2345
- **Practice address fax:** (336) 897-0786
- **Mailing address:** PO BOX 788, GREENSBORO, NC 27402-0788
- **Mailing address phone:** (336) 823-2345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 101YP1600X | Pastoral Counselor | — | NULL | — |
| 101YP1600X | Pastoral Counselor | — | — | — |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/26/2020
- **Last updated:** 12/05/2023