Organization
IMPACT OF THE PIEDMONT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE HILLIARD WOOD BA, QP (EXECUTIVE DIRECTOR)
(336) 751-5014
Entity
Organization
Contact information
Practice address
101 WILKESBORO ST, MOCKSVILLE, NC 27028-2321
(336) 751-5014
(336) 751-0036
Mailing address
101 WILKESBORO ST, MOCKSVILLE, NC 27028-2321
(336) 751-5014
(336) 751-0036
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-030-026
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/21/2007
Last updated
03/02/2026
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