Healthcare Provider Details

I. General information

NPI: 1205753787
Provider Name (Legal Business Name): WITHOUT BORDERS COLLECTIVE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2026
Last Update Date: 07/04/2026
Certification Date: 07/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8085 OLD REIDSVILLE RD
BROWNS SUMMIT NC
27214-9447
US

IV. Provider business mailing address

8085 OLD REIDSVILLE RD
BROWNS SUMMIT NC
27214-9447
US

V. Phone/Fax

Practice location:
  • Phone: 336-340-8928
  • Fax:
Mailing address:
  • Phone: 336-340-8928
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: MR. TIMOTHY GERMAINE COVINGTON JR.
Title or Position: OWNER, THERAPIST
Credential: LCMHCA
Phone: 336-340-8928