# TOTAL VITALITY INTEGRATIVE PSYCHIATRY & WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** 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:** 1922845692
- **Authorized official:** TIARA SHACKLEFORD NP (OWNER/CEO)
- **Authorized official phone:** (336) 944-9950

## Contact information

- **Practice address:** 301 S ELM ST STE 824, GREENSBORO, NC 27401-3060
- **Practice address phone:** (336) 390-0190
- **Practice address fax:** (336) 390-0190
- **Mailing address:** 301 S ELM ST STE 824, GREENSBORO, NC 27401-3060

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2024
- **Last updated:** 08/25/2025