Organization
FAMILY SERVICE OF THE PIEDMONT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CAMPBELL LPC (CEO)
(336) 478-2017
Entity
Organization
Contact information
Practice address
1401 LONG ST, HIGH POINT, NC 27262-2541
(336) 889-6161
(336) 387-9167
Mailing address
902 BONNER DR, JAMESTOWN, NC 27282-8948
(336) 387-6161
(336) 387-9167
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1874
NC
101YM0800X
Mental Health Counselor
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005169
—
NC
Enumeration date
11/03/2006
Last updated
04/30/2014
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