Healthcare Provider Details

I. General information

NPI: 1649182924
Provider Name (Legal Business Name): BEYOND RESILIENCE COUNSELING & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

942 W 4TH ST
WINSTON SALEM NC
27101-2582
US

IV. Provider business mailing address

5515 FARM HOUSE TRL
WINSTON SALEM NC
27103-5374
US

V. Phone/Fax

Practice location:
  • Phone: 706-284-1233
  • Fax:
Mailing address:
  • Phone: 706-284-1233
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MS. DAPHNE RENA HENRY
Title or Position: FOUNDER / OWNER
Credential: LCSW-A
Phone: 706-284-1233