Devmar Behavioral, Pllc | |
501 Vallie Ln Wilmington NC 28412-2724 | |
(910) 599-3397 | |
Not Available |
Full Name | Devmar Behavioral, Pllc |
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Speciality | Counselor - Mental Health |
Location | 501 Vallie Ln, Wilmington, North Carolina |
Authorized Official Name and Position | Ann Marie Simmonds (OWNER) |
Authorized Official Contact | 9105993397 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Devmar Behavioral, Pllc 501 Vallie Ln Wilmington NC 28412-2724 Ph: (910) 599-3397 | Devmar Behavioral, Pllc 501 Vallie Ln Wilmington NC 28412-2724 Ph: (910) 599-3397 |
NPI Number | 1740649003 |
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Provider Enumeration Date | 02/15/2016 |
Last Update Date | 02/15/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740649003 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1979 (North Carolina) | Secondary |
101YM0800X | Counselor - Mental Health | 4111 (North Carolina) | Primary |
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