Healthcare Provider Details

I. General information

NPI: 1619276607
Provider Name (Legal Business Name): HAMIDAH WINSTON LCMCS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/16/2011
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date: 04/02/2020
Reactivation Date: 04/03/2020

III. Provider practice location address

3716 COTTESMORE DR
HIGH POINT NC
27265-9471
US

IV. Provider business mailing address

3716 COTTESMORE DR
HIGH POINT NC
27265-9471
US

V. Phone/Fax

Practice location:
  • Phone: 336-508-7391
  • Fax:
Mailing address:
  • Phone: 336-508-7391
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberS8379
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: