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TOTAL WELLNESS & DEVELOPMENT CENTER INC NPI 1821388851


NPI Information

NPI: 1821388851
Provider Name: TOTAL WELLNESS & DEVELOPMENT CENTER, INC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
806 STAMPER RD STE 201
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 488-2894
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TOTAL WELLNESS & DEVELOPMENT CENTER, INC is a counselor in Fayetteville, 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. TOTAL WELLNESS & DEVELOPMENT CENTER, INC NPI is 1821388851. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

806 STAMPER RD STE 201
FAYETTEVILLE, NC
ZIP 28303-100
Phone: (910) 488-2894
Fax: (910) 488-3861

The provider's authorized official is Donna Carroll .
The authorized official title is President and has the following contact phone number (910) 488-2894.

The enumeration date for this NPI number is 4/11/2011 and was last updated on 4/19/2011.


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
1101Y00000XCounselorYes

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
16008332MEDICAIDNORTH 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: 4/28/2024

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