Healthcare Provider Details
I. General information
NPI: 1871258970
Provider Name (Legal Business Name): AMBER K REED MA, NBC-HWC, CNWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/03/2021
Last Update Date: 11/03/2021
Certification Date: 10/29/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
717 GREEN VALLEY RD STE 200
GREENSBORO NC
27408-2156
US
IV. Provider business mailing address
717 GREEN VALLEY RD STE 200
GREENSBORO NC
27408-2156
US
V. Phone/Fax
- Phone: 336-355-8701
- Fax:
- Phone: 336-355-8701
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174H00000X |
| Taxonomy | Health Educator |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175T00000X |
| Taxonomy | Peer Specialist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: