UNCG NICHOLAS A VACC COUNSELING AND CONSULTING CLINIC (NPI# 1992254114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992254114 |
| Entity Type | Organization |
| Organization Name | UNCG NICHOLAS A VACC COUNSELING AND CONSULTING CLINIC |
| Other Organization Name | UNCG |
| Practice Address |
524 Highland Avenue Greensboro NC 27412-5018 |
| Practice Telephone | 3363345112 |
| Practice Fax Number | 3362560121 |
| Mailing Telephone | 3363345112 |
| Mailing Fax Number | 3362560121 |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2016-09-29 |
| Authorized Official Name | DR. A. KEITH MOBLEY (CLINICAL PROFESSOR/CLINIC DIRECTOR) |
| Authorized Official Telephone | 3363345215 |
| Authorized Official Credential | PHD, LPCS, ACS, |
| Is Organization Subpart | Y |
| Parent Organization Name | THE UNIVERSITY OF NORTH CAROLINA AT GREENSBORO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| UNCG | Other Name - Individual/Organization |
| Street Address |
524 HIGHLAND AVENUE |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27412-5018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682930 | Susan L Phillips | Audiologist | 524 Highland Avenue, Greensboro, NC 27402-6170 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063978351 | Ji Yeon Choi | Specialist/Technologist | University At North Carolina At Greensboro, 1408 Walker Ave, Greensboro, NC 27412 | 2019-02-12 |
| 1467673038 | Susan Welch Stevens | Specialist/Technologist | University of North Carolina At Greensboro, Department of Exercise and Sports Science, 237a Hhp, Greensboro, NC 27412 | 2007-05-01 |
| 1477662989 | Molly A Weber | Physical Therapist | 1408 Walker Ave., Hhp Room 136, Greensboro, NC 27412 | 2006-08-29 |
| 1801824180 | James R Shipp | Specialist/Technologist | 136 Hhp Building, Uncg Athletics, Greensboro, NC 27412 | 2006-06-28 |
| 1770193856 | Rebecca Cole | Specialist/Technologist | 1408 Walker Ave, 250 Coleman Building, Greensboro, NC 27412 | 2020-08-04 |
| 1962968255 | Takuya Toyama | Specialist/Technologist | University At North Carolina At Greensboro, 1408 Walker Ave, Greensboro, NC 27412 | 2019-02-12 |
| 1801818158 | Pamela Lynne Guglietti | Specialist/Technologist | 136 Hhp Building, Uncg Athletics, Greensboro, NC 27412 | 2006-07-24 |
| 1932311552 | Deborah Wertheim Barry | Pharmacist | 1000 Spring Garden St, Greensboro, NC 27412-0001 | 2007-05-04 |
| 1730257692 | Elizabeth Coffin Jodoin | Counselor | Uncg Counseling and Testing Ctr, 107 Gray Drive, Greensboro, NC 27412-0001 | 2006-11-30 |
| 1952303364 | Eldaliz Angeles Fernandez | Internal Medicine | 107 Gray Dr, Greensboro, NC 27412-0001 | 2005-08-15 |
| Find all providers in zip 27412 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719842 | Ann Michele Gregory | Counselor | 2625 Camden Rd, Greensboro, NC 27403-1436 | 2020-01-15 |
| 1861032567 | Shaniece G Hopkins | Counselor | 5316 Fox Cove Ln Apt B, Greensboro, NC 27407-5969 | 2020-01-10 |
| 1790320190 | Zobaida Laota | Counselor | 3214 Brassfield Rd Apt 6202, Greensboro, NC 27410-9454 | 2019-11-10 |
| 1336798446 | Alishia Mccullough | Counselor | 1175 Revolution Mill Dr, Greensboro, NC 27405-5079 | 2019-09-11 |
| 1184279002 | Dazzmen Davis | Counselor | 418 Eugene Ct, Greensboro, NC 27401-2714 | 2019-08-07 |
| 1376104323 | Dominiquie Clemmons-james | Counselor | 2615 Vanstory St, Greensboro, NC 27407-4731 | 2019-06-20 |
| 1730640996 | Senetria Renea Shay | Counselor | 3901 Battleground Ave Apt 103, Greensboro, NC 27410-9461 | 2019-03-28 |
| 1053885491 | Vanessa York | Counselor | 1451 S Elm Eugene St Ste 3219, Greensboro, NC 27406-2200 | 2019-01-18 |
| 1417427915 | Schenika La Donna Silver | Counselor | 2216 W Meadowview Rd Ste 207, Greensboro, NC 27407-3401 | 2018-11-28 |
| 1215411566 | Whitney Saraya Conaway | Counselor | 3409 W Wendover Ave Ste 1, Greensboro, NC 27407-1580 | 2018-09-23 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27412 |
Please comment or provide details below to improve the information on UNCG NICHOLAS A VACC COUNSELING AND CONSULTING CLINIC.
| 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.