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Organization

TRIAD WELLNESS & SUPPORT SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TRI-SHAWN DANZELLE DRAUGHON (OWNER/CEO)
(336) 609-9102
Entity
Organization

Contact information

Practice address
2031 MARTIN LUTHER KING JR DR STE F, GREENSBORO, NC 27406-3342
(336) 609-9102
(336) 904-2354
Mailing address
2031 SUITE F MARTIN LUTHER KING JR. DRIVE, GREENSBORO, NC 27406
(336) 609-9102
(336) 904-2354

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
175T00000X
Peer Specialist
Primary
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
10/14/2025
Last updated
01/12/2026
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