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ASHLEYBROOK CLINIC PA
NPI 1699828475
Counselor - Mental Health in Winston Salem, NC

Active since January 18, 2007
1321 ASHLEYBROOK LANE, WINSTON SALEM, NC 27103(336) 659-9045(336) 659-7866 Get Directions Write a Review

NPPES record last updated: August 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ashleybrook Clinic Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLEYBROOK CLINIC PA (NPI 1699828475) is a healthcare organization registered as a mental health in Winston Salem, North Carolina and active in the NPI registry since January 2007. The organization lists Thai T Phan, President, as its authorized official.

NPPES Registry Identity

NPI1699828475
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameASHLEYBROOK CLINIC PA
Location Address1321 ASHLEYBROOK LANEWinston Salem, NC 27103-2918
Mailing Address1321 Ashleybrook LaneWinston Salem, NC 27103-2918 · (336) 659-9045 · Fax (336) 659-7866
Phone(336) 659-9045
Fax(336) 659-7866
Organization SubpartNo
Authorized OfficialThai T PhanPresident · (336) 659-9045
Enumeration DateJanuary 18, 2007
Last NPPES UpdateAugust 1, 2008
✔ NPI 1699828475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NC · 28930
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 28930 (NC)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 28930 (NC)
1321 ASHLEYBROOK LANE, Winston Salem, NC 27103
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Other Identifiers 3

Medicare UPINC23975NC
Other0152FNC · Bcbs
Medicare PIN2309000NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashleybrook Clinic PA's NPI number?

The NPI number for Ashleybrook Clinic PA is 1699828475. It was assigned to this organization in the NPPES registry on January 18, 2007.

Where is Ashleybrook Clinic PA located?

Ashleybrook Clinic PA is located at 1321 Ashleybrook Lane, Winston Salem, NC 27103. The listed phone number is (336) 659-9045.

What is Ashleybrook Clinic PA's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Ashleybrook Clinic PA was last updated on August 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.