My Sister's Place

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MY SISTER'S PLACE

Practice address

2925 S Main St
Winston Salem, NC 27127-4006

Phone

(336) 784-5922

NPI assigned

Aug 14, 2006

Organization subpart

No

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

Authorized official

Name

Joan Marie White

Title

Executive Director

Phone

(336) 784-5922

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912910415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 GLENCOE ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271073315",
            "telephone_number": "336-784-5922",
            "fax_number": "336-650-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 S MAIN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271274006",
            "telephone_number": "336-784-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY SISTER'S PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "336-784-5922"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408417",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300448",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paula B Mutton, NP
• Thomas Paul Mutton, M.D.
• Bilal Muzaffar, MD
• Ruth Muze, RN PHD
• My Grands Care Solution LLC
• My Sister's Place Community Services, Inc
• My Sister's Place Community Services, Inc.
• My Sister's Place Community Services, Inc.
• My Sister's Place Community Services, Inc.
• Jennifer Alicia Myers-Cassidy, FNP-BC

• 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 Aug 22, 2020; 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.