Organization Active NPI

Nourished and Known, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Winston Salem, NC
National Provider Identifier
1043939960
Registry record updated Aug 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NOURISHED AND KNOWN, PLLC
Practice address
2422 Reynolda Rd Ste 5/6
Winston Salem, NC 27106-4606
Phone
(336) 298-6818
NPI assigned
Aug 24, 2022
Last updated
Aug 24, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Taylor Brooke Miller, LCMHC
Title
Owner
Phone
(828) 315-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2422 Reynolda Rd Ste 5/6
Winston Salem, NC 27106-4606

Mailing address

2422 Reynolda Rd Ste 5/6
Winston Salem, NC 27106-4606
Phone (336) 298-6818

National Provider Directory

National Provider Directory

Locations

2422 Reynolda Rd
Ste 56
Winston Salem, NC 27106
Phone (336) 298-6818

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1043939960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2422 REYNOLDA RD STE 5/6",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064606",
            "telephone_number": "336-298-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2422 REYNOLDA RD STE 5/6",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064606",
            "telephone_number": "336-298-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOURISHED AND KNOWN, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-24",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "828-315-0330",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.