MEDICARE: BRIA DRUCILLE BETHEA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	C016348	NC

General Provider Information

NPI Number	:	1477067163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIA DRUCILLE BETHEA

Provider Business Mailing Address
First Line	:	3211 CYPRESS PARK RD
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-6798
Country	:	US
Telephone Number	:	910-429-4160
Fax Number	:

Provider Business Practice Location Address
First Line	:	3409 W WENDOVER AVE STE I
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27407-1579
Country	:	US
Telephone Number	:	336-897-2375
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2017
Last Update Date	:	10/19/2023

Similar Medicare Providers

1184627614 — DR. SUSIE OZETTA TROXLER PH.D.
Practice Location Address:

3409 W WENDOVER AVE STE E
GREENSBORO, NC
27407-1579

Practice Phone: 336-324-1610
Practice Fax:

1861620080 — A BRIGHTER YOU LLC
Practice Location Address:

3409 W WENDOVER AVE STE F
GREENSBORO, NC
27407-1579

Practice Phone: 336-287-5933
Practice Fax: 336-722-4499

1356691182 — ZEPHANIAH SERVICES PC
Practice Location Address:

3409 W WENDOVER AVE STE E
GREENSBORO, NC
27407-1579

Practice Phone: 336-323-1385
Practice Fax: 888-959-2812

1386141349 — DEIANDRA SHANEYCE WADE LPCA
Practice Location Address:

3409 W WENDOVER AVE STE I
GREENSBORO, NC
27407-1579

Practice Phone: 336-897-2375
Practice Fax:

1821585191 — MS. IMANI RICKS
Practice Location Address:

3409 W WENDOVER AVE STE I
GREENSBORO, NC
27407-1579

Practice Phone: 336-652-3638
Practice Fax:

1982180980 — LINDA DOBBINS ALEXANDER
Practice Location Address:

3409 W WENDOVER AVE STE I
GREENSBORO, NC
27407-1579

Practice Phone: 336-897-2375
Practice Fax:

Directions to “ BRIA DRUCILLE BETHEA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.