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General NPI Number Information
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NPI Number | 1275412777
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Entity Type | Organization
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Legal Business Name | SHANTI'S PROMISE CLINICAL WELLNESS
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 701 GREEN VALLEY RD SUITE 100 #384
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City | GREENSBORO
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State | NC
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Zip | 27408
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Country | US
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Telephone | 336-223-3794
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Fax |
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Provider Business Mailing Address
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Address Line | 1633 NEW GARDEN RD # 1215
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City | GREENSBORO
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State | NC
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Zip | 27410-2001
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Country | US
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Telephone | 336-223-3794
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE MEMBER
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Name | MS. SHANTEL SHARNE ROBINSON
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Credential | LCSW
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Telephone | 336-223-3794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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