Organization
LIFECHANGES FAMILY GUIDANCE & WELLNESS INC.
Active
Other names
Open Doors Counseling & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LATRINA DEVONNE WINFORD LPCS (CEO)
(336) 577-6652
Entity
Organization
Contact information
Practice address
1922 MLK JR. DRIVE, WINSTON SALEM, NC 27107-1361
(336) 776-3154
(336) 464-2071
Mailing address
1922 S MARTIN LUTHER KING JR DR # 74, WINSTON SALEM, NC 27107-1361
(336) 464-1322
(888) 320-8093
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251B00000X
Case Management Agency
—
SC
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP8090
—
SC
Enumeration date
08/05/2007
Last updated
05/23/2022
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