National Provider Identifier Database

SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY
Adolescent and Children Mental Health

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.


Contact Information

SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY
4555 OGBURN AVE
WINSTON-SALEM, NC27105-2726
Phone: 336-703-4273
Fax: 336-661-4954
Website:
Specialty Taxonomy Code
* Adolescent and Children Mental Health 261QM0855X
Student Health 261QS1000X

* Indicates primary specialty

NPI Profile & details for SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY

NPI Number 1982732269
Legal business name
LBN
SCHOOL HEALTH ALLIANCE FOR FORSYTH COUNTY
Authorized official TRACY BRADSHAW - (OFFICE MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/01/2007
Last updated 10/18/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • NC Medicaid: 6005804
  • NC Other: 011N0 BLUE CROSS - BLUE SHIELD
  • NC Other: A9495 MEDCOST

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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