Healthcare Provider Details

I. General information

NPI: 1881543692
Provider Name (Legal Business Name): RESET RESIDENTIAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2026
Last Update Date: 10/03/2026
Certification Date: 10/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3321 ARGYLE LN
GREENSBORO NC
27406-8209
US

IV. Provider business mailing address

3321 ARGYLE LN
GREENSBORO NC
27406-8209
US

V. Phone/Fax

Practice location:
  • Phone: 662-736-4196
  • Fax:
Mailing address:
  • Phone: 662-736-4196
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: JERESIA TRIPLETT
Title or Position: CEO
Credential: MSW
Phone: 662-736-4196