Total Vitality Integrative Psychiatry & Wellness, PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

TOTAL VITALITY INTEGRATIVE PSYCHIATRY & WELLNESS, PLLC

Practice address

301 S Elm St Ste 824
Greensboro, NC 27401-3060

Phone

(336) 390-0190

Fax

(336) 390-0190

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Tiara Shackleford, NP

Title

Owner/Ceo

Phone

(336) 944-9950

Specialties & licenses 2

Addresses

Other names 3

• Green Pastures Behavioral Health and Wellness Doing business as
• Total Vitality Integrative Health and Wellness Doing business as
• Tiara Shackleford, PLLC Former legal business name

Locations

Practitioners 1

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

• Tiara A. Webb, DNP, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Greensboro, NC
  • NPI 1619521747

  Family

  NPD

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756080000000",
    "number": "1922845692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S ELM ST STE 824",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S ELM ST STE 824",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274013060",
            "telephone_number": "336-390-0190",
            "fax_number": "336-390-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL VITALITY INTEGRATIVE PSYCHIATRY & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A",
        "authorized_official_last_name": "SHACKLEFORD",
        "authorized_official_first_name": "TIARA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "336-944-9950",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Pastures Behavioral Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Vitality Integrative Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Total Vitality Integrative Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tiara Shackleford, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Psychiatric/Mental Health Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.