MR. LATIMER BRECK ALEXANDER V (NPI# 1649627795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649627795 |
| Entity Type | Individual |
| Full Name | MR. LATIMER BRECK ALEXANDER V |
| Credential | LCSW-A, LCAS-A |
| Practice Address |
5140 Dunstan Rd Greensboro NC 27405-9565 |
| Practice Telephone | 3366213381 |
| Mailing Telephone | 3366213381 |
| Enumeration Date | 2016-05-18 |
| Last Update Date | 2016-11-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
21985 | NC | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
PO10755 | NC | Behavioral Health & Social Service Providers |
| Street Address |
5140 DUNSTAN RD |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27405-9565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225007719 | Fellowship Hall, Inc. | Substance Abuse Rehabilitation Facility | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2006-03-16 |
| 1205436284 | Cyrus Kolar | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2020-10-28 |
| 1952775017 | Crystal Vechlekar Blair | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2015-11-30 |
| 1477946960 | Michael Yow | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2015-03-09 |
| 1679965388 | Terri Spears | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2015-03-04 |
| 1609287408 | Mahala Motzny | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2014-05-14 |
| 1194155887 | Marvin Mathias Sandifer | Social Worker | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2013-11-18 |
| 1457780439 | Kelly Shelton Scaggs | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2013-11-11 |
| 1881822286 | Terry A Whitling | Counselor | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2009-06-24 |
| 1487826061 | Jeremy Don Harrison | Psychiatry & Neurology | 5140 Dunstan Rd, Greensboro, NC 27405-9565 | 2008-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477038727 | Miya Jackson | Behavior Technician | 2308 Golden Gate Dr, Apt G, Greensboro, NC 27405 | 2018-10-02 |
| 1821576299 | Woodrow Eric Bradley | Day Training/Habilitation Specialist | 1403 Woocbriar Ave, Greensboro, NC 27405 | 2018-07-30 |
| 1922593094 | Constance Foushee | Nurse Practitioner | 1100 E. Wendover, Greensboro, NC 27405 | 2018-06-29 |
| 1760972434 | Ayana Linette Holland | Home Health Aide | 1417 Old Hickory Dr, Greensboro, NC 27405 | 2018-05-17 |
| 1790294700 | G. Antoine Gray | Specialist | 2100 Phillips Avenue, Suite B, Greensboro, NC 27405 | 2017-09-21 |
| 1306375910 | Wendy Carisa Boger | Registered Nurse | 1100 East Wendover Avenue, Greensboro, NC 27405 | 2017-06-07 |
| 1659827715 | Changing Paths Counseling Center Pllc | Community/Behavioral Health | 1600 E Wendoer Ave., Suite C, Greensboro, NC 27405 | 2016-08-29 |
| 1295187896 | Amanda Kirby Counseling, PC | Counselor | 1175 Revolution Mill Drive, Suite 29-2, Greensboro, NC 27405 | 2016-07-07 |
| 1780049429 | Pta | Residential Treatment Facility, Physical Disabilities | 1900 Sheldon Road, Greensboro, NC 27405 | 2015-12-23 |
| 1841655644 | Amaya Nicole Hardy | Counselor | 1600r E Wendover Ave Ste R, Greensboro, NC 27405 | 2015-12-21 |
| Find all providers in zip 27405 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427663004 | Christal Genel Herbin | Counselor | 2005 Boulevard St Ste C, Greensboro, NC 27407-4557 | 2020-09-10 |
| 1154939718 | Starlings Nest LLC | Counselor | 341 Guilford College Rd Apt J, Greensboro, NC 27409-2998 | 2020-07-20 |
| 1477179968 | Sarah Caroline Lewis Yow | Counselor | 4018 Primrose Ave, Greensboro, NC 27455-2426 | 2020-06-19 |
| 1730714882 | Insight Counseling Professionals, Pllc | Counselor | 717 Green Valley Rd Ste 222, Greensboro, NC 27408-2155 | 2020-03-10 |
| 1659906022 | Jamaral D Rease | Counselor | 1409 Ogden St, Greensboro, NC 27406-2227 | 2020-03-06 |
| 1841820289 | Jena Plummer | Counselor | 1931 New Garden Rd Ste 206, Greensboro, NC 27410-2558 | 2020-01-24 |
| 1831739812 | Terrell Sutton | Counselor | 309 Concord St Ste 201, Greensboro, NC 27406-3661 | 2020-01-08 |
| 1073164208 | Thrive Foundation, Inc. | Counselor | 523 Simpson St, Greensboro, NC 27401-2040 | 2019-09-29 |
| 1255989810 | Michael Robert Wildman | Counselor | 430 Battleground Ave Unit A, Greensboro, NC 27401-2104 | 2019-08-27 |
| 1295389062 | S. Purcell Counseling PC | Counselor | 1451 S Elm Eugene St Ste 3105, Greensboro, NC 27406-2200 | 2019-07-30 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27405 |
Please comment or provide details below to improve the information on MR. LATIMER BRECK ALEXANDER V.
| 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.