Healthcare Provider Details

I. General information

NPI: 1952145930
Provider Name (Legal Business Name): MARY BAUMGARTEN ALLRED MS, LCMHC, NCC, CRC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY ELIZABETH BAUMGARTEN MS, LCMHC, NCC, CRC

II. Dates (important events)

Enumeration Date: 06/24/2024
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 E BESSEMER AVE
GREENSBORO NC
27401-1416
US

IV. Provider business mailing address

3346 ALAMANCE RD
BURLINGTON NC
27215-5401
US

V. Phone/Fax

Practice location:
  • Phone: 336-542-2076
  • Fax: 336-272-1182
Mailing address:
  • Phone: 864-609-7083
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number20107
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code225C00000X
TaxonomyRehabilitation Counselor
License Number697951
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: