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WILMINGTON WELLNESS GROUP PA NPI 1235218546


NPI Information

NPI: 1235218546
Provider Name: WILMINGTON WELLNESS GROUP, PA
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 34D2007430

Address:
1213 CULBRETH DR
WILMINGTON, NC
ZIP 28405
Phone: (910) 471-4773
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WILMINGTON WELLNESS GROUP, PA is a psychiatry psychiatry neurology in Wilmington, NC. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. WILMINGTON WELLNESS GROUP, PA NPI is 1235218546. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1213 CULBRETH DR
WILMINGTON, NC
ZIP 28405-684
Phone: (910) 471-4773

The provider's authorized official is Shawn Ellington Mccann .
The authorized official title is Owner and has the following contact phone number (910) 471-4774.

The CLIA number assigned to this NPI record is 34D2007430 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/6/2006 and was last updated on 8/22/2020.


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
12084P0800XPsychiatry & NeurologyPsychiatryNORTH 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
1141FFOTHERNORTH CAROLINABLUE CROSS
25903309MEDICAIDNORTH CAROLINA

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: 11/14/2023

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