NPIMap

Organization Active NPI

Family Wellness and Clinical Services, PLLC

  • Community/Behavioral Health Agency
  • Greensboro, NC
National Provider Identifier
1588917165
Registry record updated Oct 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
8498 Issued in NC
Legal business name
FAMILY WELLNESS AND CLINICAL SERVICES, PLLC
Practice address
4215 River Birch Loop Apt 2G
Greensboro, NC 27409-8042
Phone
(336) 209-9809
NPI assigned
Oct 20, 2012
Last updated
Oct 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2012

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

Authorized official

Name
Tenika WalkerNPI 1962706283
Title
Manager
Phone
(336) 209-9809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X 8498 NC Primary

Addresses

Primary practice location

4215 River Birch Loop Apt 2G
Greensboro, NC 27409-8042

Mailing address

PO Box 1624
Jamestown, NC 27282-1624

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1350691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350691200000",
    "number": "1588917165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1624",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272821624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 RIVER BIRCH LOOP APT 2G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274098042",
            "telephone_number": "336-209-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY WELLNESS AND CLINICAL SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-20",
        "last_updated": "2012-10-20",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TENIKA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "336-209-9809"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "8498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2012; 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.