Healthcare Provider Details

I. General information

NPI: 1861039729
Provider Name (Legal Business Name): NO BOUNDS CARE INC OF NC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2019
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

514 N WASHINGTON ST STE 134
WADESBORO NC
28170-1839
US

IV. Provider business mailing address

717 GREEN VALLEY RD
GREENSBORO NC
27408-2155
US

V. Phone/Fax

Practice location:
  • Phone: 980-999-5006
  • Fax: 855-345-0943
Mailing address:
  • Phone: 336-255-1214
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: LATOYA BROWN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 336-255-1214