Organization
FAMILY SERVICE OF THE PIEDMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS BONNEY ACSW, LCSW (PRESIDENT AND CEO)
(336) 478-2017
Entity
Organization
Contact information
Practice address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 889-6105
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8301199 H
—
NC
Enumeration date
12/06/2007
Last updated
04/08/2008
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