Greensboro Dance & Drama Therapy

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GREENSBORO DANCE & DRAMA THERAPY

Practice address

4112 Spring Garden St Ste B
Greensboro, NC 27407-1652

Phone

(336) 698-6723

NPI assigned

Sep 20, 2021

Organization subpart

No

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

Authorized official

Name

Angela Wiley, MANPI 1992930788

Title

Owner

Phone

(336) 698-6723

Specialties & licenses 1

Addresses

Other names 1

• Greensboro Dance & Drama Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Wiley, LPC, LCAS, MAC

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1992930788
  NPD Authorized official

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

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1114697117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5603 W FRIENDLY AVE # 103B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274104274",
            "telephone_number": "336-698-6723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 SPRING GARDEN ST STE B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071652",
            "telephone_number": "336-698-6723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSBORO DANCE & DRAMA THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-698-6723",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greensboro Dance & Drama Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Greensboro Chiropractic Inc
• Greensboro College Inc.,
• Greensboro Counseling and Consultation, PLLC
• Greensboro Counseling and Testing
• Greensboro Counseling Partners PLLC
• Greensboro Day School
• Greensboro Dermatology Assoc PA
• Greensboro Diabetes Self Care Center
• Greensboro Ear Nose & Throat Associates PA
• Greensboro Endocrinology and Diabetes

• Mental Health Counselor in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.