Organization
FAMILY SERVICE OF THE PIEDMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS F CAMPBELL LPC (PRESIDENT AND CEO)
(336) 478-2017
Entity
Organization
Contact information
Practice address
513 WHITE OAK ST # C, ASHEBORO, NC 27203-4770
(336) 633-1845
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1874
NC
101YM0800X
Mental Health Counselor
Primary
1041
NC
363LF0000X
Family Nurse Practitioner
201930
NC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
201930
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6006294
—
NC
Enumeration date
01/03/2008
Last updated
04/30/2014
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