Organization
TYMEOUT COUNSELING AND CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE Y MOORE (CEO)
(336) 762-7071
Entity
Organization
Contact information
Practice address
301 N ELM ST STE 638, GREENSBORO, NC 27401-2083
(336) 762-7071
Mailing address
301 N ELM ST STE 638, GREENSBORO, NC 27401-2083
(336) 762-7071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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