Healthcare Provider Details
I. General information
NPI: 1164877262
Provider Name (Legal Business Name): PROGRESSING THROUGH THERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/27/2016
Last Update Date: 07/18/2022
Certification Date: 10/06/2020
Deactivation Date:
Reactivation Date:
III. Provider practice location address
418 EUGENE CT
GREENSBORO NC
27401-2714
US
IV. Provider business mailing address
418 EUGENE CT
GREENSBORO NC
27401-2714
US
V. Phone/Fax
- Phone: 336-365-8354
- Fax: 336-365-2380
- Phone: 336-365-8354
- Fax: 336-365-2380
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101Y00000X |
| Taxonomy | Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LAWANNA
D.
BROWN
Title or Position: OWNER
Credential: MS, LPCA
Phone: 336-365-8354