| Mind Body & Soul Counseling & Wellness Center | |
|
2603 Hillway Dr Greensboro NC 27407-5220 | |
| (336) 601-7132 | |
| Not Available |
| Full Name | Mind Body & Soul Counseling & Wellness Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2603 Hillway Dr, Greensboro, North Carolina |
| Authorized Official Name and Position | Allyson Shields (OWNER) |
| Authorized Official Contact | 3366017132 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body & Soul Counseling & Wellness Center 2603 Hillway Dr Greensboro NC 27407-5220 Ph: (336) 601-7132 | Mind Body & Soul Counseling & Wellness Center 2603 Hillway Dr Greensboro NC 27407-5220 Ph: (336) 601-7132 |
| NPI Number | 1366175127 |
|---|---|
| Provider Enumeration Date | 07/07/2022 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Medicare PECOS PAC ID | 8921527698 |
|---|---|
| Medicare Enrollment ID | O20250527000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366175127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Allyson Shields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538651195 PECOS PAC ID: 5092164772 Enrollment ID: I20231206002265 |
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