| Low Tide Play Therapy & Family Wellness Pllc | |
|
107 Chestnut St Wilmington NC 28401-3940 | |
| (910) 537-6257 | |
| (910) 360-8084 |
| Full Name | Low Tide Play Therapy & Family Wellness Pllc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 107 Chestnut St, Wilmington, North Carolina |
| Authorized Official Name and Position | Hayden Joseph Ahlbrandt (OWNER) |
| Authorized Official Contact | 9706317848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Low Tide Play Therapy & Family Wellness Pllc 7447 Chipley Dr Wilmington NC 28411-6213 Ph: (970) 631-7848 | Low Tide Play Therapy & Family Wellness Pllc 107 Chestnut St Wilmington NC 28401-3940 Ph: (910) 537-6257 |
| NPI Number | 1508603465 |
|---|---|
| Provider Enumeration Date | 07/09/2024 |
| Last Update Date | 07/09/2024 |
| Certification Date | 07/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508603465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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