| Embrace Wellness Coastal Group, Llc | |
|
3208 Oleander Dr Wilmington NC 28403-0800 | |
| (910) 746-8717 | |
| Not Available |
| Full Name | Embrace Wellness Coastal Group, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3208 Oleander Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Hillary Asthon Faulk Vaughan (OWNER/PRESIDENT) |
| Authorized Official Contact | 9102326127 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Embrace Wellness Coastal Group, Llc 3208 Oleander Dr Wilmington NC 28403-0800 Ph: (910) 746-8717 | Embrace Wellness Coastal Group, Llc 3208 Oleander Dr Wilmington NC 28403-0800 Ph: (910) 746-8717 |
| NPI Number | 1477135838 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Medicare PECOS PAC ID | 4082148739 |
|---|---|
| Medicare Enrollment ID | O20241118001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477135838 | NPI | - | NPPES |
| 1871999102 | Other | NPPES | |
| 1902279839 | Other | NPPES |
| Provider Name | Christopher R Myers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003905670 PECOS PAC ID: 2365498466 Enrollment ID: I20050322000790 |
| Provider Name | Brett A Gurkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053355719 PECOS PAC ID: 7214953686 Enrollment ID: I20051015000126 |
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