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Ultimate Sacrifice
Family Health Clinical Nurse Specialist in Winston Salem, North Carolina
NPI 1568050573

Ultimate Sacrifice is a Family Health Clinical Nurse Specialist based in High Point, NC and is specialized in Family Health. Ultimate Sacrifice practices in Winston Salem, NC. The NPI Number for Ultimate Sacrifice is 1568050573 and holds a License No. (North Carolina).

The current practice location address for Ultimate Sacrifice is 2290 Premier Park Ln, Winston Salem, NC and can be reached out via phone at 336-254-5796.

Location: 2290 Premier Park Ln, Winston Salem, NC, 27260-3456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568050573
Provider Name
Ultimate Sacrifice
Credential
Provider Entity Type
Organization
Address
2290 Premier Park Ln, Winston Salem, NC, 27260-3456
Phone Number
336-254-5796
Fax Number
Provider Enumeration Date
01/05/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
99999 05 NC
institution
Provider Business Practice Location Address Details
Address
2290 Premier Park Ln
City
Winston Salem
State
North Carolina
Zip
27105-6306
Phone Number
336-254-5796
Fax Number
person
Provider Business Mailing Address Details
Address
2290 Premier Park Ln
City
Winston Salem
State
North Carolina
Zip
27105-6306
Phone Number
336-254-5796
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
()
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Transportation Services
Classification
Transportation Network Company
Speciality
-
Taxonomy
342000000X
License No.
()
Definition
A ride-sharing company that provides prearranged or contracted non-emergency medical transportation services to patients through mobile or online technology.
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Family Health
Taxonomy
364SF0001X
License No.
()
Definition
Definition to come...
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