Provider Demographics
NPI:1487042032
Name:CENTER FOR HEALING AND WELLNESS PC
Entity Type:Organization
Organization Name:CENTER FOR HEALING AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MR
Authorized Official - First Name:DARRYL
Authorized Official - Middle Name:GERARD
Authorized Official - Last Name:MCCARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:MM
Authorized Official - Phone:336-987-0333
Mailing Address - Street 1:1025 E WENDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-6775
Mailing Address - Country:US
Mailing Address - Phone:336-987-0333
Mailing Address - Fax:336-474-2438
Practice Address - Street 1:1025 E WENDOVER AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27405-6775
Practice Address - Country:US
Practice Address - Phone:336-987-0333
Practice Address - Fax:336-474-2438
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-06
Last Update Date:2015-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health