NPI Code Detail JSON Logo

1487042032 NPI number — CENTER FOR HEALING AND WELLNESS PC

NPI Number: 1487042032
Health Care Provider/Practitioner: CENTER FOR HEALING AND WELLNESS PC

Information about “1487042032” NPI (CENTER FOR HEALING AND WELLNESS PC) exists in 1487042032 in HTML format HTML  |  1487042032 in plain Text format TXT  |  1487042032 in PDF (Portable Document Format) PDF  |  1487042032 in an XML format XML  formats.

NPI Number : 1487042032 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487042032",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTER FOR HEALING AND WELLNESS PC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1025 E WENDOVER AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "GREENSBORO",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27405-6775",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "336-987-0333",
    "MailingAddressFaxNumber": "336-474-2438",
    "FirstLinePracticeLocationAddress": "1025 E WENDOVER AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "GREENSBORO",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27405-6775",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "336-987-0333",
    "PracticeLocationAddressFaxNumber": "336-474-2438",
    "EnumerationDate": "01/06/2015",
    "LastUpdateDate": "01/06/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "MCCARROLL",
    "AuthorizedOfficialFirstName": "DARRYL",
    "AuthorizedOfficialMiddleName": "GERARD",
    "AuthorizedOfficialTitle": "COO",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MM",
    "AuthorizedOfficialTelephoneNumber": "336-987-0333",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "251S00000X",
        "TaxonomyName": "Community/Behavioral Health Agency",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NC",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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