Provider Demographics
NPI:1437528924
Name:OPEN DOORS COUNSELING & WELLNESS LLC
Entity Type:Organization
Organization Name:OPEN DOORS COUNSELING & WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WINFORD
Authorized Official - Suffix:
Authorized Official - Credentials:LPCS
Authorized Official - Phone:336-287-1462
Mailing Address - Street 1:2209 EASTCHESTER DR
Mailing Address - Street 2:STE 105
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-1524
Mailing Address - Country:US
Mailing Address - Phone:336-287-1462
Mailing Address - Fax:336-464-2071
Practice Address - Street 1:2209 EASTCHESTER DR
Practice Address - Street 2:STE 105
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-1524
Practice Address - Country:US
Practice Address - Phone:336-287-1462
Practice Address - Fax:336-464-2071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-15
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8302967Medicaid
NC8302967Medicaid