TRIAD BEHAVIORAL RESOURCES PC (NPI# 1336292556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336292556 |
| Entity Type | Organization |
| Organization Name | TRIAD BEHAVIORAL RESOURCES PC |
| Practice Address |
810 Warren St Greensboro NC 27403-2340 |
| Practice Telephone | 3363891413 |
| Practice Fax Number | 3363891416 |
| Mailing Telephone | 3363891413 |
| Mailing Fax Number | 3363891416 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-05-26 |
| Authorized Official Name | DAVID BOLTON (DIRECTOR) |
| Authorized Official Telephone | 3363891413 |
| Authorized Official Credential | M.ED., LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MHL041686 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 017U3 | 01 |
| NC | 6005083 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporations | Triad Behavioral Resources PC | 405 Blandwood Avenue, Greensboro, NC 27401 |
| Virginia Business Entities | Triad Behavioral Resources PC | 810 Warren St, Greensboro, North Carolina 27403 |
| Street Address |
810 WARREN ST |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27403-2340 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972522423 | Anne Dickinson Alexander | Emergency Medicine | 810 Warren St, Greensboro, NC 27403-2340 | 2006-07-18 |
| 1922612662 | Medicina Stonecrest | Clinic/Center | 810 Warren St, Greensboro, NC 27403-2340 | 2020-09-01 |
| 1689292153 | Global Lab Management LLC | Spec/Tech, Pathology | 810 Warren St, Greensboro, NC 27403-2340 | 2020-07-10 |
| 1518503168 | Kimberly Kleisch | Counselor | 810 Warren St, Greensboro, NC 27403-2340 | 2019-11-19 |
| 1891337630 | Corbren Powell | Social Worker | 810 Warren St, Greensboro, NC 27403-2340 | 2019-10-14 |
| 1467953240 | Margaret Lundsgarrd | Social Worker | 810 Warren St, Greensboro, NC 27403-2340 | 2018-02-27 |
| 1033666888 | New Vision Therapy LLC | Social Worker | 810 Warren St, Greensboro, NC 27403-2340 | 2016-09-08 |
| 1467807511 | Susan Hardison | Counselor | 810 Warren St, Greensboro, NC 27403-2340 | 2016-04-26 |
| 1932595337 | David Coleman Ma | Specialist | 810 Warren St, Greensboro, NC 27403-2340 | 2015-04-13 |
| 1336403872 | Mark Howard Scheutzow | Psychiatry & Neurology | 810 Warren St, Greensboro, NC 27403-2340 | 2012-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518581412 | Tina Tate | Nurse Practitioner | Behavioral Health Hospital, 700 Walter Reed Drive, Greensboro, NC 27403 | 2020-06-05 |
| 1609438514 | Gail Corneau | Psychologist | Uncg Psychology Clinic, 1100 West Market Street, Greensboro, NC 27403 | 2019-07-01 |
| 1528527298 | Kendall Austin Macdonald | Hearing Instrument Specialist | 2823 A Spring Garden St, Suite A, Greensboro, NC 27403 | 2019-03-13 |
| 1093292237 | Andrew Robertson | Pharmacist | 1903 W. Florida St, Greensboro, NC 27403 | 2018-07-20 |
| 1447778071 | Bac Developmental Program Inc | Day Training, Developmentally Disabled Services | 2203 Coliseum Blvd, Greensboro, NC 27403 | 2017-09-04 |
| 1144607128 | Waldo's Optical | Eyewear Supplier (Equipment, not the service) | 2500 Spring Garden St., Suite C, Greensboro, NC 27403 | 2015-04-29 |
| 1851703144 | Tedra Slade | Social Worker | 612 Pasteur Dr., Suite 300, Greensboro, NC 27403 | 2014-05-21 |
| 1336568807 | Brian Sninsky | Urology | Alliance Urology Specialists, Pa, 509 N. Elam Ave., 2nd Floor, Greensboro, NC 27403 | 2014-04-14 |
| 1003237785 | Peter Reich | Counselor | 907 Englewood St, Greensboro, NC 27403 | 2013-12-23 |
| 1508295429 | Alexander Wilson Lpc Inc | Counselor | 3719 West Market Street, Suite B, Greensboro, NC 27403 | 2013-11-01 |
| Find all providers in zip 27403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538766134 | Cecilia Gonzalez Barber | Counselor | 5g Oak Branch Dr, Greensboro, NC 27407-2157 | 2020-10-06 |
| 1134739550 | Chekayla Jones | Counselor | 230 Blandwood Ave Apt 2a, Greensboro, NC 27401-2352 | 2020-08-01 |
| 1174131213 | Integrated Healthcare Solutions of Nc LLC | Counselor | 2800 Lawndale Dr Apt 3f, Greensboro, NC 27408-4104 | 2020-07-15 |
| 1780207555 | Gate City Counseling, Pllc | Counselor | 3209 Hobbs Landing Ct, Greensboro, NC 27410-4846 | 2020-05-27 |
| 1043833635 | Bianca Lepri Morris | Counselor | 207 S Westgate Dr Ste K, Greensboro, NC 27407-1655 | 2020-05-18 |
| 1992324180 | Regina R Ratliff | Counselor | 2107 Tealwood Dr, Greensboro, NC 27407-6075 | 2020-04-08 |
| 1730718297 | Darius Sinclair Barthell | Counselor | 3822 N Elm St Unit 101, Greensboro, NC 27455-2596 | 2020-04-06 |
| 1730717448 | Jacqueline Harris | Counselor | 4708 Mallard Creek Dr, Greensboro, NC 27405-2782 | 2020-03-29 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1932734662 | Julie Lynne Bean | Counselor | 5500 Rutledge Dr, Greensboro, NC 27455-1258 | 2020-03-03 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27403 |
Please comment or provide details below to improve the information on TRIAD BEHAVIORAL RESOURCES PC.
| 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.