| Family Service Of The Piedmont | |
|
315 E Washington St Greensboro NC 27401-2911 | |
| (336) 387-6161 | |
| (336) 387-9167 |
| Full Name | Family Service Of The Piedmont |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 315 E Washington St, Greensboro, North Carolina |
| Authorized Official Name and Position | Thomas Bonney (PRESIDENT & CEO) |
| Authorized Official Contact | 3364782017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Of The Piedmont 902 Bonner Dr Jamestown NC 27282-8948 Ph: (336) 889-6105 | Family Service Of The Piedmont 315 E Washington St Greensboro NC 27401-2911 Ph: (336) 387-6161 |
| NPI Number | 1972799617 |
|---|---|
| Provider Enumeration Date | 09/17/2007 |
| Last Update Date | 04/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972799617 | NPI | - | NPPES |
| 8301004 | Medicaid | NC | |
| 8301004 B | Medicaid | NC | |
| 8301004 H | Medicaid | NC | |
| 8301004G | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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