Organization
BANYAN INTEGRATED HEALTH PLLC
Active
Other names
Banyan Tree Counseling and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHANTAL HAYES LCMHCS (OWNER/CEO)
(336) 448-4451
Entity
Organization
Contact information
Practice address
3303 HEALY DR STE B, WINSTON SALEM, NC 27103-1569
(336) 448-4451
(336) 450-1884
Mailing address
3303 HEALY DR STE B, WINSTON SALEM, NC 27103-1569
(910) 599-0218
(336) 450-1884
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
133V00000X
Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/15/2024
Last updated
10/08/2025
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