Asheboro Mind and Body Wellness PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

ASHEBORO MIND AND BODY WELLNESS PLLC

Practice address

614 Morgan Country Rd
Asheboro, NC 27203-8342

Phone

(336) 964-5565

NPI assigned

Apr 28, 2025

Last updated

Apr 28, 2025By 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

Lydia Z Long, LCSWNPI 1093065278

Title

Owner

Phone

(336) 964-5565

Specialties & licenses 2

Addresses

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.

• Lydia Long, LCSWA,LCAS

  • Clinical Social Worker
  • Greensboro, NC
  • NPI 1093065278
  Authorized official Same address or phone

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1881482099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 MORGAN COUNTRY RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038342",
            "telephone_number": "336-964-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 MORGAN COUNTRY RD",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272038342",
            "telephone_number": "336-964-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHEBORO MIND AND BODY WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "LYDIA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-964-5565",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Asheboro Orthopedic Clinic
• Asheboro Pathology Services, Inc

• Adult Mental Health Clinic/Center in Asheboro, NC
• Providers in Asheboro, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.