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Organization
TOTAL VITALITY INTEGRATIVE PSYCHIATRY & WELLNESS, PLLC
Active
Organization
TOTAL VITALITY INTEGRATIVE PSYCHIATRY & WELLNESS, PLLC
Active
Other names
Green Pastures Behavioral Health and Wellness, Total Vitality Integrative Health and Wellness, Tiara Shackleford, PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIARA SHACKLEFORD NP (OWNER/CEO)
(336) 944-9950
Entity
Organization
Contact information
Practice address
301 S ELM ST STE 824, GREENSBORO, NC 27401-3060
(336) 390-0190
(336) 390-0190
Mailing address
301 S ELM ST STE 824, GREENSBORO, NC 27401-3060
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
08/25/2025
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