| The Well Of Hope Behavioral Services | |
|
5 Centerview Dr Ste 158 Greensboro NC 27407-3709 | |
| (919) 599-7751 | |
| Not Available |
| Full Name | The Well Of Hope Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5 Centerview Dr Ste 158, Greensboro, North Carolina |
| Authorized Official Name and Position | Beverley Diane Gray (OWNER/SERVICE PROVIDER) |
| Authorized Official Contact | 9195997751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Well Of Hope Behavioral Services 5 Centerview Dr Ste 158 Greensboro NC 27407-3709 Ph: (919) 599-7751 | The Well Of Hope Behavioral Services 5 Centerview Dr Ste 158 Greensboro NC 27407-3709 Ph: (919) 599-7751 |
| NPI Number | 1326794652 |
|---|---|
| Provider Enumeration Date | 02/24/2022 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326794652 | NPI | - | NPPES |
| 13734 | Other | NC | LCMHC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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