Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sacred Earth Healing Village PLLC

Organization Mental Health Counselor · NPI 1578435103

Sacred Earth Healing Village PLLC is a Mental Health Counselor in Greensboro, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1451 S Elm Eugene St Ste 2308
Greensboro, NC 27406-2200
Phone: (336) 303-8421
Fax: (336) 464-2137
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1578435103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Krystin Fullwood — Owner · (336) 280-9976
NPI enumeratedSeptember 23, 2025
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025
Mailing address1451 S Elm Eugene St Ste 2308, Greensboro, NC 27406-2200

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