Organization
BANYAN TREE COUNSELING PLLC
Active
Other names
Banyan Tree Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
CHANTAL HAYES LCMHCS (OWNER/DIRECTOR)
(910) 599-0218
Entity
Organization
Contact information
Practice address
3305 HEALY DR, WINSTON SALEM, NC 27103-1406
(336) 448-4451
(336) 450-1884
Mailing address
3303 HEALY DR STE B, WINSTON SALEM, NC 27103-1569
(336) 448-4451
(336) 450-1884
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
133V00000X
Registered Dietitian
—
—
225C00000X
Rehabilitation Counselor
—
—
Other
Enumeration date
01/27/2020
Last updated
07/15/2024
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