Organization
CHILDREN'S HOME SOCIETY OF NC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN MANESS (PRESIDENT/CEO)
(336) 274-1538
Entity
Organization
Contact information
Practice address
604 MEADOW ST, GREENSBORO, NC 27405-6600
(800) 632-1400
Mailing address
PO BOX 14608, GREENSBORO, NC 27415-4608
(336) 274-1538
(336) 379-5835
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1031
NC
101Y00000X
Counselor
934
NC
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
6496
NC
1041C0700X
Clinical Social Worker
C001310
NC
1041C0700X
Clinical Social Worker
C003743
NC
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
Primary
DSS5146A
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018H2
BLUE CROSS BLUE SHIELD
NC
05
—
6005308
—
NC
Enumeration date
11/01/2006
Last updated
02/23/2022
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