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SAND DOLLAR WELLNESS CENTER P.C. NPI 1164872883


NPI Information

NPI: 1164872883
Provider Name: SAND DOLLAR WELLNESS CENTER, P.C.
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
1136 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412
Phone: (910) 233-8082
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SAND DOLLAR WELLNESS CENTER, P.C. is a counselor in Wilmington, NC. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. SAND DOLLAR WELLNESS CENTER, P.C. NPI is 1164872883. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1136 SHIPYARD BLVD
WILMINGTON, NC
ZIP 28412-439
Phone: (910) 233-8082

The provider's authorized official is Anne Emerson Whitted .
The authorized official title is Owner/therapist and has the following contact phone number (910) 233-8082.

The enumeration date for this NPI number is 6/14/2016 and was last updated on 6/14/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103T00000XPsychologist3720NORTH CAROLINANo
2101Y00000XCounselor9089NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11396087532OTHERPERSONAL NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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