Healthcare Provider Details

I. General information

NPI: 1639081235
Provider Name (Legal Business Name): B-COMING HER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 MUIRS CHAPEL RD # 111
GREENSBORO NC
27410-6173
US

IV. Provider business mailing address

204 MUIRS CHAPEL RD # 111
GREENSBORO NC
27410-6173
US

V. Phone/Fax

Practice location:
  • Phone: 336-516-5758
  • Fax:
Mailing address:
  • Phone: 336-516-5758
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: CHASIDY SHANTELLA ALSTON
Title or Position: OWNER
Credential:
Phone: 336-516-5758