Carolina Wellness And Counseling, Pllc | |
3204 Nash St N Ste B Wilson NC 27896-3002 | |
(252) 319-5454 | |
(252) 376-1009 |
Full Name | Carolina Wellness And Counseling, Pllc |
---|---|
Speciality | Counselor - Professional |
Location | 3204 Nash St N Ste B, Wilson, North Carolina |
Authorized Official Name and Position | Angela H Small (OWNER, PSYCHOTHERAPIST) |
Authorized Official Contact | 2522925454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Carolina Wellness And Counseling, Pllc 3204 Nash St N Ste B Wilson NC 27896-3002 Ph: (252) 319-5454 | Carolina Wellness And Counseling, Pllc 3204 Nash St N Ste B Wilson NC 27896-3002 Ph: (252) 319-5454 |
NPI Number | 1376989756 |
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Provider Enumeration Date | 05/13/2013 |
Last Update Date | 05/20/2020 |
Certification Date | 05/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376989756 | NPI | - | NPPES |
1568786424 | Other | INDIVIDUAL NPI | |
1568786424 | Other | NC | BCBS |
506455 | Other | TRICARE | |
6104468 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7879 (North Carolina) | Primary |
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