FAMILY SERVICE OF THE PIEDMONT INC NPI 1871672550

NPI Information

NPI: 1871672550
Provider Name: FAMILY SERVICE OF THE PIEDMONT, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 34D2076804

Address:
902 BONNER DR
JAMESTOWN, NC
ZIP 27282
Phone: (336) 387-6161
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FAMILY SERVICE OF THE PIEDMONT, INC is a mental health counselor in Jamestown, NC. FAMILY SERVICE OF THE PIEDMONT, INC NPI is 1871672550. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

902 BONNER DR
JAMESTOWN, NC
ZIP 27282-948
Phone: (336) 387-6161
Fax: (336) 387-9167

The provider's authorized official is Thomas F. Campbell .
The authorized official title is President.ceo and has the following contact phone number (336) 889-6105.

The CLIA number assigned to this NPI record is 34D2076804 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/3/2006 and was last updated on 4/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1874	NORTH CAROLINA	No
2	363L00000X	Nurse Practitioner				No
3	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	6005826	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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