Center for Healing and Wellness PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C000908 Issued in NC

Legal business name

CENTER FOR HEALING AND WELLNESS PC

Practice address

1025 E Wendover Ave
Suite B & C
Greensboro, NC 27405-6775

Phone

(919) 260-0955

Fax

(336) 218-6361

NPI assigned

Apr 20, 2014

Organization subpart

No

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

Authorized official

Name

Lutricia B Callair, LCSW

Title

Owner

Phone

(919) 260-0955

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1397952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406246400000",
    "number": "1497175244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 E WENDOVER AVE",
            "address_2": "SUITE B & C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056775",
            "telephone_number": "919-260-0955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 E WENDOVER AVE",
            "address_2": "SUITE B & C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056775",
            "telephone_number": "919-260-0955",
            "fax_number": "336-218-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR HEALING AND WELLNESS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-20",
        "last_updated": "2014-07-25",
        "status": "A",
        "authorized_official_last_name": "CALLAIR",
        "authorized_official_first_name": "LUTRICIA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-260-0955",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C000908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6002930",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Greensboro, NC
• Providers in Greensboro, 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 Jul 25, 2014; 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.