Organization
SUPERIOR RESOURCE AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARSHIA DONNELL (MANAGER)
(336) 823-2345
Entity
Organization
Contact information
Practice address
2216 W MEADOWVIEW RD STE 260, GREENSBORO, NC 27407-3406
(336) 823-2345
(336) 897-0786
Mailing address
PO BOX 788, GREENSBORO, NC 27402-0788
(336) 823-2345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
261Q00000X
Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
11/26/2020
Last updated
12/05/2023
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