| Lange Wellness, Pllc | |
|
1508 Military Cutoff Rd Suite 205 Wilmington NC 28403-5730 | |
| (910) 232-6523 | |
| Not Available |
| Full Name | Lange Wellness, Pllc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1508 Military Cutoff Rd, Wilmington, North Carolina |
| Authorized Official Name and Position | Kim Lange (OWNER) |
| Authorized Official Contact | 9105157021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lange Wellness, Pllc 206 Causeway Dr #358 Wrightsville Beach NC 28480 Ph: (910) 232-6523 | Lange Wellness, Pllc 1508 Military Cutoff Rd Suite 205 Wilmington NC 28403-5730 Ph: (910) 232-6523 |
| NPI Number | 1780944850 |
|---|---|
| Provider Enumeration Date | 05/23/2012 |
| Last Update Date | 11/09/2021 |
| Certification Date | 11/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780944850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 4248 (North Carolina) | Primary |
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