Organization
GROUNDED FOR PEACE WELLNESS SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA VAUGHAN LCSW, LCAS, CCS (OWNER)
(336) 688-6217
Entity
Organization
Contact information
Practice address
1250 REVOLUTION MILL DR STE 262, GREENSBORO, NC 27405-5218
(336) 688-6217
(833) 817-7048
Mailing address
1250 REVOLUTION MILL DR STE 262, GREENSBORO, NC 27405-5218
(336) 688-6217
(833) 817-7048
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/17/2018
Last updated
10/17/2018
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