Provider Demographics
NPI:1295845931
Name:BALL, NANCY CONRAD (MED LPC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:CONRAD
Last Name:BALL
Suffix:
Gender:F
Credentials:MED LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2307 W. CONE BLVD.
Mailing Address - Street 2:SUITE 280
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408
Mailing Address - Country:US
Mailing Address - Phone:336-272-0079
Mailing Address - Fax:336-907-8031
Practice Address - Street 1:2307 W CONE BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408
Practice Address - Country:US
Practice Address - Phone:336-272-0079
Practice Address - Fax:336-907-8031
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPC769101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor