My Healthy Family, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1111558 Issued in NC

Legal business name

MY HEALTHY FAMILY, LLC

Practice address

3709 Morris Farm Drive, Suite 2D
Greensboro, NC 27409-8986

Phone

(919) 381-5704

NPI assigned

Sep 15, 2009

Organization subpart

No

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

Authorized official

Name

Delton Devose

Title

Executive Clinical Director

Phone

(919) 381-5703

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1252972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252972800000",
    "number": "1205169869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 MORRIS FARM DR APT 2D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274098986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 MORRIS FARM DRIVE, SUITE 2D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274098986",
            "telephone_number": "919-381-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY HEALTHY FAMILY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-15",
        "last_updated": "2009-09-15",
        "status": "A",
        "authorized_official_last_name": "DEVOSE",
        "authorized_official_first_name": "DELTON",
        "authorized_official_title_or_position": "EXECUTIVE CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-381-5703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "1111558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2009; 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.