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Organization

INSPIRED 2 B U PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LATOYA CHEVELLE WADDELL PHD, LCMHCS, CCS (OWNER)
(336) 954-7345
Entity
Organization

Contact information

Practice address
4377 BAYLOR ST, GREENSBORO, NC 27455-2557
(336) 264-5141
Mailing address
4377 BAYLOR ST, GREENSBORO, NC 27455-2557
(336) 264-5141

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679817597
PROVIDER
NC
Enumeration date
03/28/2024
Last updated
11/18/2025
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