| Intracoastal Calm, Pllc | |
|
201 N Front St Ste 215 Wilmington NC 28401-5095 | |
| (910) 766-9860 | |
| Not Available |
| Full Name | Intracoastal Calm, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 201 N Front St Ste 215, Wilmington, North Carolina |
| Authorized Official Name and Position | Katherine Greig (MEMBER) |
| Authorized Official Contact | 9107669860 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Intracoastal Calm, Pllc 201 N Front St Ste 215 Wilmington NC 28401-5095 Ph: (910) 766-9860 | Intracoastal Calm, Pllc 201 N Front St Ste 215 Wilmington NC 28401-5095 Ph: (910) 766-9860 |
| NPI Number | 1205533684 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 8921464801 |
|---|---|
| Medicare Enrollment ID | O20230518002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205533684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Katherine J Greig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154791689 PECOS PAC ID: 8820338528 Enrollment ID: I20190315001020 |
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