Hairston and Reynolds, LLC

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

241829 Issued in NC

Legal business name

HAIRSTON AND REYNOLDS, LLC

Practice address

2 Woodlea Ridge CT
Greensboro, NC 27406-5253

Phone

(336) 455-7186

NPI assigned

Mar 4, 2008

Last updated

Mar 4, 2008By 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

Ms. Shannon Hairston

Title

Director

Phone

(336) 988-0679

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1528238631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 WOODLEA RIDGE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WOODLEA RIDGE CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274065253",
            "telephone_number": "336-455-7186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIRSTON AND REYNOLDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-988-0679",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "NC",
            "license": "241829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin P Hagood, DDS
• Bethany A Hagopian, LCMHC, NCC, MS
• Aqeel Haidar, MD
• Erin Ashley Haines, MED, ATC, LAT
• Nathan Ronald Haines, M.D.
• Chester Philmore Hairston, MA ED
• Gwendolyn Hairston
• Kayla Evette Hairston
• Mandesia Rochelle Hairston, FNP-BC
• Mya Christina Hairston

• Emotionally Disturbed Childrens' Residential Treatment Facility in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.