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Organization

FAMILY SERVICE OF THE PIEDMONT, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY ANN BROWN (CONTRACTS ADMINISTRATOR)
(336) 889-6105
Entity
Organization

Contact information

Practice address
308 BOULEVARD ST, HIGH POINT, NC 27262-3802
(336) 889-6105
(336) 387-9167
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 889-6105
(336) 387-9167

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
Primary
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
251S00000X
Community/Behavioral Health Agency
363L00000X
Nurse Practitioner
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1871672550
NC
Enumeration date
10/07/2019
Last updated
05/20/2024
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