OrganizationActive
Professional Rehabilitation Consultants
NPI 1598844565 · Rehabilitation Psychologist · Greensboro, NC
Provider details
- NPI number
- 1598844565
- Entity type
- Organization
- Primary specialty
- Rehabilitation PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Zan Liccione, Ceo, Clinical Services(336) 508-1157
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1710 Kay St
Greensboro, NC 27405-5046
Phone: (336) 508-1157
Approximate (ZIP-level) locationGet directions
Mailing address
1710 Kay St
Greensboro, NC 27405-5046
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2008-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.