Healthcare Provider Details

I. General information

NPI: 1306080114
Provider Name (Legal Business Name): CARENET, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2009
Last Update Date: 07/22/2025
Certification Date: 07/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 N MARTIN LUTHER KING JR DR
WINSTON SALEM NC
27101-3006
US

IV. Provider business mailing address

PO BOX 571097
WINSTON SALEM NC
27157-1097
US

V. Phone/Fax

Practice location:
  • Phone: 336-713-9727
  • Fax: 336-713-9619
Mailing address:
  • Phone: 336-716-0800
  • Fax: 336-716-0822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ROBERT WILLIS
Title or Position: DIRECTOR
Credential: LMFT
Phone: 336-716-0858