Organization · Type 2 NPI

Wilmington Health Access for Teens, Inc

Mental Health Counselor · Wilmington, NC

NPI number 1396188207 Active

Practice location

555 Halyburton Memorial Pkwy
Wilmington, NC 28412-3094

Call (910) 452-6320 Map

Fax (910) 790-4166

Mailing address

4005 Oleander Dr
Wilmington, NC 28403-6816

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

2 other providers at this address

Coastal Horizons Center Inc.Community/Behavioral Health Agency Wilmington, NC NPI 1154772440
Sadie Lou Thomas, LAT, ATCAthletic Trainer Wilmington, NC NPI 1356749600

Other mental health counselor providers in Wilmington

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NPI record

NPI: 1396188207
Entity type: Organization (Type 2)
Issued: Apr 10, 2013
Last updated: Apr 23, 2013
Status: Active
Subpart: Yes of Wilmington Health Access for Teens, Inc

Other names

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Ashley High School Wellness Center-Bh · doing business as

Authorized official

Maria Van de Bovenkamp
Director of Administration
(910) 790-9949

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396188207

Wilmington Health Access for Teens, Inc's National Provider Identifier is 1396188207, issued on Apr 10, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Wilmington, NC. The record was last updated on Apr 23, 2013.