GROUNDED FOR PEACE WELLNESS SERVICES, PLLC (NPI# 1053887075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053887075 |
| Entity Type | Organization |
| Organization Name | GROUNDED FOR PEACE WELLNESS SERVICES, PLLC |
| Practice Address |
1250 Revolution Mill Dr Ste 262 Greensboro NC 27405-5218 |
| Practice Telephone | 3366886217 |
| Practice Fax Number | 8338177048 |
| Mailing Telephone | 3366886217 |
| Mailing Fax Number | 8338177048 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Authorized Official Name | AMANDA VAUGHAN (OWNER) |
| Authorized Official Telephone | 3366886217 |
| Authorized Official Credential | LCSW, LCAS, CCS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
1250 REVOLUTION MILL DR STE 262 |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-5218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861090987 | Genesis Mind Care | Clinic/Center | 2020 New Garden Rd Ste D, Greensboro, NC 27410-2488 | 2020-10-12 |
| 1124266937 | G.w. Strong House, LLC | Clinic/Center | 503 Lowdermilk St, Greensboro, NC 27401-4440 | 2009-02-02 |
| 1174697403 | Advantage Bhs | Clinic/Center | 1040 Silver Rd, Greensboro, GA 30642-2157 | 2006-11-20 |
| 1619988938 | Triad Counseling & Clinical Services,llc | Clinic/Center | 5603 B. New Garden Village Dr, Greensboro, NC 27410 | 2006-08-11 |
| 1982642088 | County of Guilford | Clinic/Center | 401 N. Eugene St., Greensboro, NC 27401-2116 | 2006-06-02 |
| 1326661307 | Helping Hands Counseling Services, Pllc | Clinic/Center | 717 Green Valley Rd Ste 200, Greensboro, NC 27408-2156 | 2020-05-25 |
| 1932667607 | Swayne Solutions Inc | Clinic/Center | 2601 Oakcrest Ave Ste F, Greensboro, NC 27408-4719 | 2019-03-12 |
| 1346662384 | Singleton Care | Clinic/Center | 1 Centerview Dr, Greensboro, NC 27407-3713 | 2014-01-10 |
| 1538495536 | Triad Behavioral Resources | Clinic/Center | 436 Spring Garden St, Greensboro, NC 27401-2734 | 2009-10-26 |
| 1467403170 | Ringer Centers Inc | Clinic/Center | 213 E Bessemer Ave, Greensboro, NC 27401-6324 | 2006-05-15 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on GROUNDED FOR PEACE WELLNESS SERVICES, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.