| Journeys Counseling Center Inc. | |
|
3405 W Wendover Ave Ste A Greensboro NC 27407-1525 | |
| (336) 294-1349 | |
| (336) 292-6711 |
| Full Name | Journeys Counseling Center Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3405 W Wendover Ave Ste A, Greensboro, North Carolina |
| Authorized Official Name and Position | Shirena Simpson Smith (OWNER) |
| Authorized Official Contact | 3364511113 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journeys Counseling Center Inc. 612 Pasteur Dr Ste 400 Greensboro NC 27403-1120 Ph: (336) 294-1349 | Journeys Counseling Center Inc. 3405 W Wendover Ave Ste A Greensboro NC 27407-1525 Ph: (336) 294-1349 |
| NPI Number | 1982907838 |
|---|---|
| Provider Enumeration Date | 12/15/2010 |
| Last Update Date | 08/30/2022 |
| Certification Date | 08/30/2022 |
| Medicare PECOS PAC ID | 4789828682 |
|---|---|
| Medicare Enrollment ID | O20130916000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982907838 | NPI | - | NPPES |
| 6008309 | Medicaid | NC | |
| 6106778 | Medicaid | NC |
| Provider Name | Shirena Simpson-smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316133887 PECOS PAC ID: 1456448729 Enrollment ID: I20071102000323 |
| Provider Name | Lorenzo T Hansley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003213851 PECOS PAC ID: 9032488432 Enrollment ID: I20170628000968 |
| Provider Name | Sasha Giles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588113682 PECOS PAC ID: 9436429578 Enrollment ID: I20170721000813 |
| Provider Name | David N Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821334756 PECOS PAC ID: 7810269099 Enrollment ID: I20170823001293 |
| Provider Name | Freda Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740719202 PECOS PAC ID: 1759645286 Enrollment ID: I20180508002191 |
| Provider Name | Andrew Watkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972020337 PECOS PAC ID: 6103207816 Enrollment ID: I20220713000078 |
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