Organization
THE OPEN HEART THERAPIST PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN G N BOULET LCSW (OWNER)
(336) 223-5521
Entity
Organization
Contact information
Practice address
2709 PINEDALE RD STE B, GREENSBORO, NC 27408-2018
(336) 223-5521
(336) 288-3177
Mailing address
2709 PINEDALE RD STE B, GREENSBORO, NC 27408-2018
(336) 223-5521
(336) 288-3177
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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