Healthcare Provider Details

I. General information

NPI: 1255407185
Provider Name (Legal Business Name): GUILFORD CHILD HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

433 W MEADOWVIEW ROAD
GREENSBORO NC
27406-4316
US

IV. Provider business mailing address

400 E COMMERCE AVE
HIGH POINT NC
27260-5221
US

V. Phone/Fax

Practice location:
  • Phone: 336-370-9091
  • Fax: 336-370-4922
Mailing address:
  • Phone: 336-884-0224
  • Fax: 336-884-3471

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number StateNC
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number StateNC
# 6
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNC
# 7
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number StateNC
# 8
Primary TaxonomyN
Taxonomy Code163WP0200X
TaxonomyPediatric Registered Nurse
License Number
License Number StateNC
# 9
Primary TaxonomyN
Taxonomy Code170100000X
TaxonomyPh.D. Medical Genetics
License Number
License Number StateNC

VIII. Authorized Official

Name: MS. CONSUELLA GIBSON
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 336-884-0224