| Wellspace Counseling & Consulting | |
|
105 E Center St Suite B-11 Mebane NC 27302-2420 | |
| (336) 686-5838 | |
| Not Available |
| Full Name | Wellspace Counseling & Consulting |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 105 E Center St, Mebane, North Carolina |
| Authorized Official Name and Position | Shannon Sellers-harty (OWNER) |
| Authorized Official Contact | 3366865838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspace Counseling & Consulting 105 E Center St Suite B-11 Mebane NC 27302-2420 Ph: () - | Wellspace Counseling & Consulting 105 E Center St Suite B-11 Mebane NC 27302-2420 Ph: (336) 686-5838 |
| NPI Number | 1659732592 |
|---|---|
| Provider Enumeration Date | 03/18/2016 |
| Last Update Date | 03/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659732592 | NPI | - | NPPES |
| 6007342 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | C006273 (North Carolina) | Primary |
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