Organization Active NPI

Courageous Journeys Healing Center PLLC

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1699598862
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COURAGEOUS JOURNEYS HEALING CENTER PLLC
Practice address
2 Centerview Dr Ste 43
Greensboro, NC 27407-3708
Phone
(984) 221-9781
NPI assigned
Nov 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Authorized official

Name
Mrs. Camille Dukes Hester, LCSWANPI 1063147288
Title
Owner/Clinical Therapist
Phone
(336) 740-6167

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2 Centerview Dr Ste 43
Greensboro, NC 27407-3708

Mailing address

653 Grasswren Way
Greensboro, NC 27409-9143
Phone (336) 740-6167

Other identifiers 1

IdentifierTypeStateIssuer
1063147288MedicaidNC

National Provider Directory

National Provider Directory

Locations

2 Centerview Dr
Ste 43
Greensboro, NC 27407
Phone (336) 988-8620

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1699598862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "653 GRASSWREN WAY",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274099143",
            "telephone_number": "336-740-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTERVIEW DR STE 43",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274073708",
            "telephone_number": "984-221-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COURAGEOUS JOURNEYS HEALING CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "HESTER",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "DUKES",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "336-740-6167",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063147288",
            "state": "NC"
        }
    ],
    "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 Feb 5, 2025; 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.