| Sea Glass Counseling Collaborative Llc | |
|
1606 Harbour Dr Wilmington NC 28401-7716 | |
| (973) 919-6669 | |
| (910) 207-5335 |
| Full Name | Sea Glass Counseling Collaborative Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1606 Harbour Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Tina Marie Cooke (CEO) |
| Authorized Official Contact | 9739196698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Glass Counseling Collaborative Llc 1512 Bonito Ln Carolina Beach NC 28428-5765 Ph: (973) 919-6698 | Sea Glass Counseling Collaborative Llc 1606 Harbour Dr Wilmington NC 28401-7716 Ph: (973) 919-6669 |
| NPI Number | 1982435475 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982435475 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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