| Novatu Counseling And Assessment | |
|
4910 Randall Pkwy Ste B Wilmington NC 28403-2827 | |
| (910) 515-4556 | |
| (910) 446-3668 |
| Full Name | Novatu Counseling And Assessment |
|---|---|
| Speciality | Counselor |
| Location | 4910 Randall Pkwy Ste B, Wilmington, North Carolina |
| Authorized Official Name and Position | Jaimie Orndorff (OWNER) |
| Authorized Official Contact | 9105154556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Novatu Counseling And Assessment 4910 Randall Pkwy Ste B Wilmington NC 28403-2827 Ph: (910) 515-4556 | Novatu Counseling And Assessment 4910 Randall Pkwy Ste B Wilmington NC 28403-2827 Ph: (910) 515-4556 |
| NPI Number | 1912545260 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 0749673424 |
|---|---|
| Medicare Enrollment ID | O20220201001039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912545260 | NPI | - | NPPES |
| Provider Name | Jaimie C Orndorff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700958071 PECOS PAC ID: 6608038286 Enrollment ID: I20120426000386 |
| Provider Name | Nicole M Rice |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427453950 PECOS PAC ID: 9638447022 Enrollment ID: I20231006003147 |
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