H. Diane Jenkins, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C002645 Issued in NC

Legal business name

H. DIANE JENKINS, LLC

Practice address

110 W Elm St
Yadkinville, NC 27055-3313

Phone

(336) 575-3747

Fax

(866) 413-4793

NPI assigned

Sep 4, 2007

Organization subpart

No

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

Authorized official

Name

Harriet Diane Jenkins, LCSW

Title

Ceo

Phone

(336) 575-3747

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• GAC Counseling Doing business as

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1891989752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 NORTHBRIDGE RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036517",
            "telephone_number": "336-575-3747",
            "fax_number": "866-413-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W ELM ST",
            "city": "YADKINVILLE",
            "state": "NC",
            "postal_code": "270553313",
            "telephone_number": "336-575-3747",
            "fax_number": "866-413-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H. DIANE JENKINS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "HARRIET",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-575-3747",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C002645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6003126",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GAC Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Hartley Greene, PTA
• Charles B Gross
• Courtney Guido, LCSW
• Cheryl Lynn Guinn, PTA
• Nicholas Leo Gullett, PHARMD
• Crystal Leigh Hamlin, RN
• Charly Marie Harris, LCAS
• Health Services Unlimited Inc.
• Healthstat- Unifi Yadkinville Plant 1
• Healthstat- Unifi Yadkinville Plant 5

• Community/Behavioral Health Agency in Yadkinville, NC
• Providers in Yadkinville, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.