| Sand Dollar Wellness Center, P.c. | |
|
1136 Shipyard Blvd Wilmington NC 28412-6439 | |
| (910) 233-8082 | |
| Not Available |
| Full Name | Sand Dollar Wellness Center, P.c. |
|---|---|
| Speciality | Counselor |
| Location | 1136 Shipyard Blvd, Wilmington, North Carolina |
| Authorized Official Name and Position | Anne Emerson Whitted (OWNER/THERAPIST) |
| Authorized Official Contact | 9102338082 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sand Dollar Wellness Center, P.c. 7705 Masonboro Sound Rd Wilmington NC 28409-2670 Ph: (910) 233-8082 | Sand Dollar Wellness Center, P.c. 1136 Shipyard Blvd Wilmington NC 28412-6439 Ph: (910) 233-8082 |
| NPI Number | 1164872883 |
|---|---|
| Provider Enumeration Date | 06/14/2016 |
| Last Update Date | 06/14/2016 |
| Medicare PECOS PAC ID | 3779865209 |
|---|---|
| Medicare Enrollment ID | O20170118001606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164872883 | NPI | - | NPPES |
| 1396087532 | Other | PERSONAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 9089 (North Carolina) | Primary |
| 103T00000X | Psychologist | 3720 (North Carolina) | Secondary |
| Provider Name | Amy Ann Waldbillig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174005128 PECOS PAC ID: 5496099103 Enrollment ID: I20181206003439 |
| Provider Name | Melissa M Stokes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013467943 PECOS PAC ID: 7214350446 Enrollment ID: I20200707002122 |
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