WILMINGTON MENTAL HEALTH PLLC NPI 1396206330

NPI Information

NPI: 1396206330
Provider Name: WILMINGTON MENTAL HEALTH, PLLC

Doing Business As: WILMINGTON MENTAL HEALTH

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3825 MARKET ST STE 4
WILMINGTON, NC
ZIP 28403
Phone: (910) 777-5575
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WILMINGTON MENTAL HEALTH, PLLC is a multi-specialty clinic center in Wilmington, NC. WILMINGTON MENTAL HEALTH, PLLC NPI is 1396206330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Wilmington Mental Health.

The provider's business location address is:

3825 MARKET ST STE 4
WILMINGTON, NC
ZIP 28403-426
Phone: (910) 777-5575
Fax: (910) 777-5273

The provider's authorized official is Joseph Rengifo .
The authorized official title is Psychotherapist and has the following contact phone number (910) 777-5575.

The CLIA number assigned to this NPI record is 34D2249838 - practitioner other with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/30/2019 and was last updated on 1/26/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207Q00000X	Family Medicine		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
4	101YM0800X	Counselor	Mental Health	No
5	363A00000X	Physician Assistant		No
6	101YP2500X	Counselor	Professional	No
7	104100000X	Social Worker		No
8	1041C0700X	Social Worker	Clinical	No
9	363LF0000X	Nurse Practitioner	Family	No
10	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	No
11	363LP2300X	Nurse Practitioner	Primary Care	No
12	261QM1300X	Clinic/Center	Multi-Specialty	Yes

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

NPI Synchronization or Removal

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