| Making Waves Mental Health, Pllc | |
|
2632 Carolina Beach Rd # 4 Wilmington NC 28412-1890 | |
| (716) 359-0045 | |
| Not Available |
| Full Name | Making Waves Mental Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2632 Carolina Beach Rd # 4, Wilmington, North Carolina |
| Authorized Official Name and Position | Lindsey Lawrence (OWNER) |
| Authorized Official Contact | 7163590045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Making Waves Mental Health, Pllc 2632 Carolina Beach Rd # 4 Wilmington NC 28412-1890 Ph: () - | Making Waves Mental Health, Pllc 2632 Carolina Beach Rd # 4 Wilmington NC 28412-1890 Ph: (716) 359-0045 |
| NPI Number | 1962102830 |
|---|---|
| Provider Enumeration Date | 03/08/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Medicare PECOS PAC ID | 6406219351 |
|---|---|
| Medicare Enrollment ID | O20230825001169 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962102830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
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