Individual provider · Type 1 NPI

Jonishawa Jontay Danielle Ivory

Mental Health Counselor · Greensboro, NC

NPI number 1053278655 Active

Practice location

1515 W Cornwallis Dr
Greensboro, NC 27408-6338

Call (336) 937-3146 Map

Fax (336) 585-6269

Mailing address

347 Inlet Place Dr
Winston Salem, NC 27127-7013

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XA21507 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1053278655

Jonishawa Jontay Danielle Ivory's National Provider Identifier is 1053278655, issued on Jan 6, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Greensboro, NC. The record was last updated on Jan 6, 2026.