Imu Consulting and Counseling Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

IMU CONSULTING AND COUNSELING SERVICES, LLC

Practice address

1948 Ray Alexander Dr
Greensboro, NC 27410-1826

Phone

(919) 638-1610

NPI assigned

Oct 8, 2020

Organization subpart

No

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

Authorized official

Name

Indhira Mmefre Anietie Udofia, LCSWNPI 1285117648

Title

Ceo

Phone

(336) 663-2819

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Indhira Mmefre Anietie Udofia, LCSW

  • Clinical Social Worker
  • Denver, CO
  • NPI 1285117648
  NPD Authorized official

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

{
    "created_epoch": "1602115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602115200000",
    "number": "1518564905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 RAY ALEXANDER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274101826",
            "telephone_number": "919-638-1610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 RAY ALEXANDER DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274101826",
            "telephone_number": "919-638-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMU CONSULTING AND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-08",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A",
        "authorized_official_last_name": "UDOFIA",
        "authorized_official_first_name": "INDHIRA",
        "authorized_official_middle_name": "MMEFRE ANIETIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-663-2819",
        "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 Oct 8, 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.