Organization
INNER HEALING AND PEACE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MARTIN SINK LCMHC, CCTP (OWNER)
(336) 970-1697
Entity
Organization
Contact information
Practice address
2910 BRIARCLIFFE RD, WINSTON SALEM, NC 27106-3176
(336) 970-1697
Mailing address
236 REEDY CREEK SCHOOL DR, LEXINGTON, NC 27295-9760
(336) 970-1697
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053875021
OWNER NPI NUMBER
NC
Enumeration date
10/13/2022
Last updated
10/13/2022
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