PIEDMONT COUNSELING AND DEVELOPMENT


Address: 4917 Piedmont Pkwy Ste 103d, Jamestown, NC 27282-7536
Phone: 3364425458

PIEDMONT COUNSELING AND DEVELOPMENT (NPI# 1548770480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548770480
Entity Type Organization
Organization Name PIEDMONT COUNSELING AND DEVELOPMENT
Practice Address 4917 Piedmont Pkwy Ste 103d
Jamestown
NC 27282-7536
Practice Telephone 3364425458
Mailing Telephone 3364425458
Enumeration Date 2017-10-05
Last Update Date 2017-12-18
Authorized Official Name MS. MONIQUE CRUTCHFIELD (THERAPIST)
Authorized Official Telephone 3364425458
Authorized Official Credential LCSW, LCAS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
C006190 NC Ambulatory Health Care Facilities

Office Location

Street Address 4917 PIEDMONT PKWY STE 103D
City JAMESTOWN
State NC
Zip Code 27282-7536

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NPI Name Taxonomy Address Enumeration
1619301231 Donna Jean Drosinis Physician Assistant 604 W. Main Street, Jamestown, NC 27282 2013-08-30
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1912269036 Jacob Ilardi Licensed Practical Nurse 310 Nutwood Circle, Jameston, NC 27282 2012-06-14
1295985471 Paris S Ford Occupational Therapist 200 Haynes Rd, Jamestown, NC 27282 2008-09-24
1972787083 Charles L Brandenburg IIi Dds Dentist 5011d Mackay Rd, Jamestown, NC 27282 2007-12-26
1013034156 Cecelia A Tolliver Specialist/Technologist 602 High Point Rd., Jamestown, NC 27282 2007-03-23
1174619746 Ronald Ray Beshears Dentist 720 West Main Street, Suite B, Jamestown, NC 27282 2006-10-04
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1275992943 Amanda Brooks Adamski Nurse Practitioner 1236 Guilford College Rd Ste 117, Jamestown, NC 27282 2016-02-23
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City JAMESTOWN
Zip Code 27282

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Dataset Information

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.

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