Organization
FAMILY SERVICE OF THE PIEDMONT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS CAMPBELL (CEO)
(336) 387-6161
Entity
Organization
Contact information
Practice address
315 E WASHINGTON ST, GREENSBORO, NC 27401-2911
(336) 387-6161
(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
—
—
251S00000X
Community/Behavioral Health Agency
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6005168
—
NC
Enumeration date
11/03/2006
Last updated
03/04/2024
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