Provider Demographics
NPI:1013784875
Name:PIEDMONT PARTNERS FOR MENTAL HEALTH, PLLC
Entity Type:Organization
Organization Name:PIEDMONT PARTNERS FOR MENTAL HEALTH, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JO
Authorized Official - Middle Name:ANDREA
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:336-392-3413
Mailing Address - Street 1:2723 HORSE PEN CREEK RD STE 105
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8390
Mailing Address - Country:US
Mailing Address - Phone:336-265-1762
Mailing Address - Fax:
Practice Address - Street 1:2723 HORSE PEN CREEK RD STE 105
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8390
Practice Address - Country:US
Practice Address - Phone:336-265-1762
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-11
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty