MEDICARE: GSO FAMILY SERVICES INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1952268542
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GSO FAMILY SERVICES INC.

Provider Business Mailing Address
First Line	:	1600 GROVE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-3418
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 GROVE ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27403-3418
Country	:	US
Telephone Number	:	336-314-8496
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LAMONT COLLINS
Credential	:
Telephone Number	:	336-314-8496

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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