| Harvest Moon Psychotherapy, Pllc | |
|
313 Walnut Street Suite 106 Wilmington NC 28401 | |
| (984) 600-1310 | |
| Not Available |
| Full Name | Harvest Moon Psychotherapy, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 313 Walnut Street, Wilmington, North Carolina |
| Authorized Official Name and Position | Amber Borcyk (LICENSED CLINICAL SOCIAL WORK ASSO.) |
| Authorized Official Contact | 9846001310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Harvest Moon Psychotherapy, Pllc 1818 Martin Luther King Jr Blvd # 298 Chapel Hill NC 27514-7415 Ph: (984) 600-1310 | Harvest Moon Psychotherapy, Pllc 313 Walnut Street Suite 106 Wilmington NC 28401 Ph: (984) 600-1310 |
| NPI Number | 1942922281 |
|---|---|
| Provider Enumeration Date | 09/14/2022 |
| Last Update Date | 09/14/2022 |
| Certification Date | 08/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942922281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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