Provider Demographics
NPI:1285986497
Name:BRIGGS, DESIREE GUINEVERE (LPC)
Entity type:Individual
Prefix:
First Name:DESIREE
Middle Name:GUINEVERE
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 CAROLINA ST STE 114
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1090
Mailing Address - Country:US
Mailing Address - Phone:336-542-2060
Mailing Address - Fax:
Practice Address - Street 1:1301 CAROLINA ST STE 114
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27401-1090
Practice Address - Country:US
Practice Address - Phone:336-542-2060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA9317101YM0800X
NC9317101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA9317OtherNBLPC
NC9317OtherNBLPC