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WILMINGTON HEALTH ACCESS FOR TEENS INC NPI 1194065516


NPI Information

NPI: 1194065516
Provider Name: WILMINGTON HEALTH ACCESS FOR TEENS, INC

Doing Business As: LANEY HIGH SCHOOL WELLNESS CENTER

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
2700 N COLLEGE RD
WILMINGTON, NC
ZIP 28405
Phone: (910) 452-9503
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WILMINGTON HEALTH ACCESS FOR TEENS, INC is a mental health counselor in Wilmington, NC. WILMINGTON HEALTH ACCESS FOR TEENS, INC NPI is 1194065516. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Laney High School Wellness Center.

The provider's business location address is:

2700 N COLLEGE RD
WILMINGTON, NC
ZIP 28405-816
Phone: (910) 452-9503
Fax: (910) 392-0505

The provider's authorized official is Maria G Van De Bovenkamp .
The authorized official title is Director Of Administration and has the following contact phone number (910) 790-9949.

The enumeration date for this NPI number is 2/21/2013 and was last updated on 2/21/2013.


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
1101YM0800XCounselorMental HealthNORTH CAROLINAYes

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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