KENDAL SIMEON BROWN


Address: 4830 Tutelo Trl, Winston Salem, NC 27127-9419
Phone: 5406293308

KENDAL SIMEON BROWN (NPI# 1356900898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1356900898
Entity Type Individual
Full Name KENDAL SIMEON BROWN
Credential LCAS
Practice Address 4830 Tutelo Trl
Winston Salem
NC 27127-9419
Practice Telephone 5406293308
Mailing Telephone 5406293308
Enumeration Date 2019-06-09
Last Update Date 2019-06-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
LCAS-25015 NC Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NC LCAC-25015 05

Office Location

Street Address 4830 TUTELO TRL
City WINSTON SALEM
State NC
Zip Code 27127-9419

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821695164 North Davidson Dialysis Center of Wake Forest University Clinic/Center 295 Millers Creek Drive, Winston Salem, NC 27127 2020-10-08
1326654963 Procare Home Health, LLC Home Health 12133 Nc-150 Suite C, Winston-salem, NC 27127 2020-09-18
1952809576 Lamboy and Rubio Dds Pa Dentist 2563 Peters Creek Pkwy, Winston Salem, NC 27127 2018-01-29
1427403815 Ramona Rorie Griffin Noble Counselor 1348 Westgate Center Drive Suite 202, Winston Salem, NC 27127 2016-05-04
1205295680 Kia Johnson Dentist 2101 Peters Creek Pkwy Ste 16-19, Winston Salem, NC 27127 2016-02-15
1487030060 Llibott Consultorios Medicos- Ws,pllc Clinic/Center 1145 Silas Creek Pkwy, Winston Salem, NC 27127 2015-08-05
1740688266 Bonnie M. Clifton Specialist/Technologist 800 Salisbury Ridge Rd, Winston-salem, NC 27127 2014-12-16
1740606706 Yen T Nguyen Dmd Pllc Dentist 2375 Brewer Road, Winston-salem, NC 27127 2014-03-13
1316254451 Marquis D. Bailey Specialist 200 Alexander Preston Ln, Winston - Salem, NC 27127 2010-09-10
1093991234 Independent Living Group Home, LLC Custodial Care Facility 924 Cloister Dr, Winston Salem, NC 27127 2008-01-17
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1215566385 Sherrie Nicole Fogg Counselor 215 Braeburn Dr, Winston Salem, NC 27127-4691 2020-04-02
1831721968 Olivia Henderson Smith Counselor 1 Medical Center Blvd 5th Floor Watlington Hall, Winston Salem, NC 27157-0001 2020-02-06
1578110805 Elevation Counseling Services Pllc Counselor 1922 S Martin Luther King Jr Dr Ste 27, Winston Salem, NC 27107-1361 2019-08-21
1497216667 Larry Lamont Joe Jr. Counselor 1348 Westgate Center Dr Ste 204, Winston Salem, NC 27103-2984 2019-03-28
1558829994 Esther Fredrica Dixon Counselor 326 N Spring St, Winston Salem, NC 27101-2722 2019-03-05
1609383736 Stephanie Gimenez Counselor 163 Stratford Ct Ste 225, Winston Salem, NC 27103-1836 2018-01-10
1194239665 Brandon Andre Jevon James Counselor 1922 S Martin Luther King Jr Dr Ste 225, Winston Salem, NC 27107-1361 2017-11-20
1417484304 Jessica Lynn Vaughn Counselor 3640 Westgate Center Cir Ste A, Winston Salem, NC 27103 2017-05-22
1316472475 Wendy Marshall Counselor 5078 Leeshire Way, Winston Salem, NC 27106-1870 2017-04-26
1255877296 Kingsberry Counseling Services, Pllc Counselor 421 Paigebrook Dr, Winston Salem, NC 27106-8744 2017-01-14
Find all providers in WINSTON SALEM

Competitor

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City WINSTON SALEM
Zip Code 27127

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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