| Triad Counseling & Clinical Services, Llc | |
|
5587 Garden Village Way Ste D Greensboro NC 27410-8590 | |
| (336) 272-8090 | |
| (336) 272-0094 |
| Full Name | Triad Counseling & Clinical Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5587 Garden Village Way Ste D, Greensboro, North Carolina |
| Authorized Official Name and Position | Sara Dehart-young (PARTNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 3362728090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Triad Counseling & Clinical Services, Llc 5587 Garden Village Way Ste D Greensboro NC 27410-8590 Ph: (336) 272-8090 | Triad Counseling & Clinical Services, Llc 5587 Garden Village Way Ste D Greensboro NC 27410-8590 Ph: (336) 272-8090 |
| NPI Number | 1619988938 |
|---|---|
| Provider Enumeration Date | 08/11/2006 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Medicare PECOS PAC ID | 1557734332 |
|---|---|
| Medicare Enrollment ID | O20230224002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619988938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Laura Wulff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144643388 PECOS PAC ID: 1658666557 Enrollment ID: I20160816002926 |
| Provider Name | Lilla Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215604780 PECOS PAC ID: 8921404963 Enrollment ID: I20210831001153 |
| Provider Name | Charisse N Fullwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154085629 PECOS PAC ID: 9931593936 Enrollment ID: I20220308000163 |
| Provider Name | Sara Dehart-young |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972634426 PECOS PAC ID: 5799125225 Enrollment ID: I20240514002281 |
| Provider Name | Karen Austin Elliott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952411605 PECOS PAC ID: 7911348362 Enrollment ID: I20240515004542 |
| Provider Name | Katherine Howard Glenn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114020153 PECOS PAC ID: 3375984727 Enrollment ID: I20240515004561 |
| Provider Name | Richard Patterson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164992244 PECOS PAC ID: 3173965506 Enrollment ID: I20240530001242 |
Step By Step Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Centerview Dr Ste 105, Greensboro, NC 27407 Phone: 336-378-0109 Fax: 336-378-0180 | |
Cone Adolescent Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1131c N Church St, Room 4, Greensboro, NC 27401 Phone: 336-832-7867 Fax: 336-832-7869 | |
James F Scherer Ccsw Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5318 W Friendly Ave, Greensboro, NC 27410 Phone: 336-292-6947 Fax: 336-292-7409 | |
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The Embracement Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 S Elm St, Ste 35, Greensboro, NC 27401 Phone: 336-328-7821 | |
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