Provider Demographics
NPI:1912309907
Name:WINFORD BROWN RAMSEUR & ASSOCIATES
Entity Type:Organization
Organization Name:WINFORD BROWN RAMSEUR & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWER
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:336-896-9771
Mailing Address - Street 1:4680 BROWNSBORO RD STE D
Mailing Address - Street 2:
Mailing Address - City:WINSTON-SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106
Mailing Address - Country:US
Mailing Address - Phone:336-896-9771
Mailing Address - Fax:
Practice Address - Street 1:4680 BROWNSBORO ROAD STE D
Practice Address - Street 2:
Practice Address - City:WINSTON-SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106
Practice Address - Country:US
Practice Address - Phone:336-896-9771
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC341372101YM0800X, 101YP2500X, 251B00000X, 251S00000X, 253Z00000X, 302F00000X, 302R00000X, 305R00000X, 320800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No251B00000XAgenciesCase Management
No253Z00000XAgenciesIn Home Supportive Care
No302F00000XManaged Care OrganizationsExclusive Provider Organization
No302R00000XManaged Care OrganizationsHealth Maintenance Organization
No305R00000XManaged Care OrganizationsPreferred Provider Organization
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCMICAH15Medicaid
NCMICAH15Medicare UPIN
NCMICAH15Medicaid
NCMICAH15Medicare Oscar/Certification