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TRINITY WELLNESS CENTER OF WILMINGTON INC NPI 1841382173


NPI Information

NPI: 1841382173
Provider Name: TRINITY WELLNESS CENTER OF WILMINGTON INC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 34D1102916

Address:
1907 S 17TH ST
SUITE 1
WILMINGTON, NC
ZIP 28401
Phone: (910) 343-8424
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TRINITY WELLNESS CENTER OF WILMINGTON INC 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. TRINITY WELLNESS CENTER OF WILMINGTON INC NPI is 1841382173. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1907 S 17TH ST
SUITE 1
WILMINGTON, NC
ZIP 28401-626
Phone: (910) 343-8424
Fax: (910) 343-6989

The provider's authorized official is Rano Thomas Mathew .
The authorized official title is Owner and has the following contact phone number (910) 343-8424.

The CLIA number assigned to this NPI record is 34D1102916 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 1/14/2011.


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
12084P0800XPsychiatry & NeurologyPsychiatry9600112NORTH 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
15900768MEDICAIDNORTH CAROLINA
22347107MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINAGROUP
36005578MEDICAIDNORTH 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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