Guided Phases LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GUIDED PHASES LLC

Practice address

502 E Simmons Ave
Williamston, NC 27892-1852

Phone

(252) 661-7041

NPI assigned

Jan 12, 2023

Organization subpart

No

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

Authorized official

Name

Gwendolyn Goddard

Title

Partner

Phone

(252) 661-7041

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1457065575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E SIMMONS AVE",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921852",
            "telephone_number": "252-661-7041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E SIMMONS AVE",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278921852",
            "telephone_number": "252-661-7041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUIDED PHASES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "GODDARD",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "252-661-7041"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://drive.google.com/drive/folders/1esjjLgMiVfDWOhWJk4ggRiwayTfQy21-?usp=share_link",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "502 E Simmons Ave",
            "city": "Williamston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278921852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.