| Kimberly M Selsky Lcmhc Pllc | |
|
5010 Randall Pkwy Wilmington NC 28403-2829 | |
| (910) 791-5719 | |
| (910) 799-8180 |
| Full Name | Kimberly M Selsky Lcmhc Pllc |
|---|---|
| Speciality | Counselor |
| Location | 5010 Randall Pkwy, Wilmington, North Carolina |
| Authorized Official Name and Position | Rebecca Mullins (PRACTICE MANAGER) |
| Authorized Official Contact | 9107915719 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly M Selsky Lcmhc Pllc 5010 Randall Pkwy Wilmington NC 28403-2829 Ph: (910) 791-5719 | Kimberly M Selsky Lcmhc Pllc 5010 Randall Pkwy Wilmington NC 28403-2829 Ph: (910) 791-5719 |
| NPI Number | 1841068475 |
|---|---|
| Provider Enumeration Date | 12/13/2023 |
| Last Update Date | 12/13/2023 |
| Certification Date | 12/13/2023 |
| Medicare PECOS PAC ID | 9638516461 |
|---|---|
| Medicare Enrollment ID | O20240328000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841068475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly Selsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669598595 PECOS PAC ID: 9537506365 Enrollment ID: I20240328000941 |
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