1699598862 NPI number — COURAGEOUS JOURNEYS HEALING CENTER PLLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699598862 NPI number — COURAGEOUS JOURNEYS HEALING CENTER PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COURAGEOUS JOURNEYS HEALING CENTER PLLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699598862
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/05/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
653 GRASSWREN WAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GREENSBORO
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
27409-9143
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
336-740-6167
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 CENTERVIEW DR STE 43
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBORO
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
27407-3708
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
984-221-9781
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/05/2024

Additional Information

Authorized Official

Authorized Official Last Name:
HESTER
Authorized Official First Name:
CAMILLE
Authorized Official Middle Name:
DUKES
Authorized Official Title or Position:
OWNER/CLINICAL THERAPIST
Authorized Official Telephone Number:
336-740-6167

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1063147288 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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