Sacred Earth Healing Village PLLC
NPI 1578435103 · Mental Health Counselor · Greensboro, NC
Sacred Earth Healing Village PLLC is a Mental Health Counselor organization in Greensboro, NC (NPI 1578435103).
Provider details
- NPI number
- 1578435103
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Krystin Fullwood, Owner(336) 280-9976
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-09-23
- Last updated
- 2025-09-25
- Certified
- 2025-09-25
Frequently asked questions
- What is Sacred Earth Healing Village PLLC's NPI number?
- Sacred Earth Healing Village PLLC's National Provider Identifier (NPI) is 1578435103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Sacred Earth Healing Village PLLC?
- Sacred Earth Healing Village PLLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Sacred Earth Healing Village PLLC located?
- Sacred Earth Healing Village PLLC's practice location on file with NPPES is 1451 S Elm Eugene St Ste 2308, Greensboro, NC 27406-2200.
- What is Sacred Earth Healing Village PLLC's phone number?
- The practice phone number listed in the NPPES registry for Sacred Earth Healing Village PLLC is (336) 303-8421.
- Who is the authorized official for Sacred Earth Healing Village PLLC?
- The authorized official listed on Sacred Earth Healing Village PLLC's NPPES record is Krystin Fullwood, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Sacred Earth Healing Village PLLC's NPI active?
- Yes — Sacred Earth Healing Village PLLC's NPI (1578435103) is active in the NPPES registry as of the last update on 2025-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.