Body & Soul Total Wellness, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005769 Issued in NC

Legal business name

BODY & SOUL TOTAL WELLNESS, PLLC

Practice address

204 Kelly PL
High Point, NC 27262-2609

Phone

(336) 812-9733

Fax

(336) 812-9374

NPI assigned

Apr 11, 2011

Last updated

Apr 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Margaret Lorene Miller Crite, LCSW

Title

Ceo

Phone

(336) 812-9733

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Crystal Leahnee Brown-Rackley, LCSW-A

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1184348880
  NPD (past)
• Christine Esezobor, LCSW

  • Clinical Social Worker
  • Asheboro, NC
  • NPI 1538685417
  NPD (past)
• Erica Fox, LCMHC

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1639681687
  NPD (past)
• Bernette Kelley Jones, LCSW

  • Clinical Social Worker
  • High Point, NC
  • NPI 1679986244
  NPD (past)
• Jeneya Kalimah Garrett McLean, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1932627429
  NPD (past)

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1366732497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 KELLY PL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622609",
            "telephone_number": "336-812-8733",
            "fax_number": "336-812-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 KELLY PL",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272622609",
            "telephone_number": "336-812-9733",
            "fax_number": "336-812-9374"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15 Winston St",
            "address_purpose": "LOCATION",
            "city": "Thomasville",
            "state": "NC",
            "postal_code": "273603920",
            "country_code": "US",
            "telephone_number": "336-812-9733",
            "fax_number": "336-812-9374",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "529 S Church St Ste A",
            "address_purpose": "LOCATION",
            "city": "Asheboro",
            "state": "NC",
            "postal_code": "272035672",
            "country_code": "US",
            "telephone_number": "336-812-9733",
            "fax_number": "336-812-9374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODY & SOUL TOTAL WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-11",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "MILLER CRITE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "LORENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-812-9733",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Sue Blumstein, NP
• Stacey Blyth, M.D.
• Bmi Nephrology Systems, Inc.
• Elizabeth Gage Bockewitz, M.D.
• Gregory Bodenheimer, PHARMD
• Phalan Larese Bolden, NP
• Joseph Boles
• Brittlee Lauren Bolton, BCBA
• Sarah Bone, PA-C
• Bertrand A Bonnick, DDS

• Clinical Social Worker in High Point, NC
• Providers in High Point, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.