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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