Organization · Type 2 NPI

Family Ties of Brunswick, LLC

Professional Counselor · Wilmington, NC

NPI number 1831682665 Active

Practice location

720 N 3rd St Ste 401
Wilmington, NC 28401-3474

Call (910) 769-9126 Map

Fax (910) 769-9169

Other practice locations

5320 Bridgers Rd Ste 4, Shallotte, NC 28470-4737 · (910) 754-4097
201 N Front St Ste 704, Wilmington, NC 28401-5090 · (910) 769-9126

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	9796 (NC)
Mental Health Counselor	101YM0800X	None listed
Professional Counselor Primary	101YP2500X	20956 (NC)
Clinical Social Worker	1041C0700X	None listed

Professional Counselor: Definition to come...

3 other providers at this address

Demonique Corbett, LCAS, CFEAddiction (Substance Use Disorder) Counselor Wilmington, NC NPI 1982459251
Jennifer Keever Peterken, MSW, LCSWAClinical Social Worker Wilmington, NC NPI 1659057172
Katherine Huey Nicholas, CPNP-PCNurse Practitioner Wilmington, NC NPI 1598545816

Other professional counselor providers in Wilmington

See all in Wilmington →

NPI record

NPI: 1831682665
Entity type: Organization (Type 2)
Issued: Jun 6, 2018
Last updated: Nov 16, 2023
Status: Active
Subpart: Yes of Family Ties of Brunswick, LLC

Other names

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Family Ties Mental Health and Substance Abuse Counseling Services · doing business as

Authorized official

Ms. Bridget Dixon Milliken, LCMHC, LCASA
Owner
(910) 393-8502

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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 1831682665

Family Ties of Brunswick, LLC's National Provider Identifier is 1831682665, issued on Jun 6, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wilmington, NC. The record was last updated on Nov 16, 2023.