Organization
MIND BODY & SOUL COUNSELING & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYSON SHIELDS LCMHC (OWNER)
(336) 601-7132
Entity
Organization
Contact information
Practice address
2603 HILLWAY DR, GREENSBORO, NC 27407-5220
(336) 601-7132
Mailing address
2603 HILLWAY DR, GREENSBORO, NC 27407-5220
(336) 601-7132
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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