Heal-Thy Self, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

HEAL-THY SELF, PLLC

Practice address

3447 Robinhood Rd Ste 210
Winston Salem, NC 27106-4791

Phone

(336) 355-8069

NPI assigned

Sep 16, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Todd Hairston, LCMHCANPI 1114750486

Title

Owner/Ceo

Phone

(410) 258-2541

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Christopher Todd Hairston

  • Mental Health Counselor
  • Winston Salem, NC
  • NPI 1114750486
  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1740017573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3163 ALLERTON LAKE DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064481",
            "telephone_number": "410-258-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 ROBINHOOD RD STE 210",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064791",
            "telephone_number": "336-355-8069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL-THY SELF, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "HAIRSTON",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "410-258-2541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tristan Webb Hazebrook
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• Marian Virginia Hazy, CRNP
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• Monica Headen
• Healing Waters Holistic Mental Wellness, PLLC
• Health Solutions DME Inc
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• Healthcore Reaource
• Healthcore Resource, Inc

• Mental Health Counselor in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.