Provider Demographics
NPI:1518641190
Name:TOURE, KADIATOU (EDD,PHD,BCCP)
Entity type:Individual
Prefix:DR
First Name:KADIATOU
Middle Name:
Last Name:TOURE
Suffix:
Gender:F
Credentials:EDD,PHD,BCCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2216 W MEADOWVIEW RD STE 272
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27407-3406
Mailing Address - Country:US
Mailing Address - Phone:336-554-5897
Mailing Address - Fax:336-500-8329
Practice Address - Street 1:2216 W MEADOWVIEW RD
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27407-3406
Practice Address - Country:US
Practice Address - Phone:336-554-5897
Practice Address - Fax:336-500-8329
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-14
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCMHL-0411280101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty