Lifepath, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LIFEPATH, PLLC

Practice address

2820 Lawndale Dr Ste 112
Box 12
Greensboro, NC 27408-4127

Phone

(336) 542-5777

Fax

(336) 542-5777

NPI assigned

Mar 24, 2011

Last updated

Jul 19, 2011By 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

Theresha Renee Hill, LCSW

Title

Owner

Phone

(336) 255-3367

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1437458791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 LAWNDALE DR STE 112",
            "address_2": "BOX 12",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084127",
            "telephone_number": "336-542-5777",
            "fax_number": "336-542-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 LAWNDALE DR STE 112",
            "address_2": "BOX 12",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274084127",
            "telephone_number": "336-542-5777",
            "fax_number": "336-542-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "THERESHA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-255-3367",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jul 19, 2011; 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.