Organization Active NPI

Global Therapy, LLC

  • Community/Behavioral Health Agency
  • Winston Salem, NC
National Provider Identifier
1639435183
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GLOBAL THERAPY, LLC
Practice address
715 Haywood St
Winston Salem, NC 27105-6406
Phone
(336) 345-7123
NPI assigned
Apr 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mr. De-Marco Odom
Title
Managing Member
Phone
(336) 345-7123

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

715 Haywood St
Winston Salem, NC 27105-6406

Mailing address

715 Haywood St
Winston Salem, NC 27105-6406
Phone (336) 345-7123

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1639435183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 HAYWOOD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271056406",
            "telephone_number": "336-345-7123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 HAYWOOD ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271056406",
            "telephone_number": "336-345-7123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-10",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "DE-MARCO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "336-345-7123",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.