Provider Demographics
NPI:1225642457
Name:GREENSBORO COUNSELING AND TESTING
Entity Type:Organization
Organization Name:GREENSBORO COUNSELING AND TESTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:SAGE
Authorized Official - Last Name:SPAULDING
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:336-314-9441
Mailing Address - Street 1:2601 OAKCREST AVE STE F
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-4719
Mailing Address - Country:US
Mailing Address - Phone:336-314-9441
Mailing Address - Fax:
Practice Address - Street 1:2601 OAKCREST AVE STE F
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-4719
Practice Address - Country:US
Practice Address - Phone:336-314-9441
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty