Healthcare Provider Details

I. General information

NPI: 1891611331
Provider Name (Legal Business Name): DAWN MELISSA THEE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 S EDGEWORTH ST
GREENSBORO NC
27401-2315
US

IV. Provider business mailing address

4033 RESOLUTION CT
HIGH POINT NC
27265-1141
US

V. Phone/Fax

Practice location:
  • Phone: 336-641-2700
  • Fax: 336-641-2793
Mailing address:
  • Phone: 754-228-4028
  • Fax: 615-852-6298

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC009969
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: