| Healthy Boundaries Llc | |
|
1920 Tradd Ct Wilmington NC 28401-6637 | |
| (910) 343-6890 | |
| (910) 332-1233 |
| Full Name | Healthy Boundaries Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1920 Tradd Ct, Wilmington, North Carolina |
| Authorized Official Name and Position | Joseph Albert Leblanc (MEMBER-MANAGER) |
| Authorized Official Contact | 9107941956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Boundaries Llc 3431 Sparrow Hawk Ct Wilmington NC 28409-2538 Ph: (910) 794-1956 | Healthy Boundaries Llc 1920 Tradd Ct Wilmington NC 28401-6637 Ph: (910) 343-6890 |
| NPI Number | 1780734467 |
|---|---|
| Provider Enumeration Date | 01/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780734467 | NPI | - | NPPES |
| 6003758 | Medicaid | NC | |
| 1400C | Other | NC | BLUE CROSS BLUE SHEILD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (North Carolina) | Primary |
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