Provider Type Icon

EMBRACE WELLNESS COASTAL GROUP LLC NPI 1477135838


NPI Information

NPI: 1477135838
Provider Name: EMBRACE WELLNESS COASTAL GROUP, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3208 OLEANDER DR
WILMINGTON, NC
ZIP 28403
Phone: (910) 746-8717
Get Directions

EMBRACE WELLNESS COASTAL GROUP, LLC is a clinical social worker in Wilmington, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. EMBRACE WELLNESS COASTAL GROUP, LLC NPI is 1477135838. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3208 OLEANDER DR
WILMINGTON, NC
ZIP 28403-800
Phone: (910) 746-8717

The provider's authorized official is Hillary Asthon Faulk Vaughan .
The authorized official title is Owner/president and has the following contact phone number (910) 232-6127.

The enumeration date for this NPI number is 4/26/2021 and was last updated on 4/26/2021.


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 HealthNo
2103TC0700XPsychologistClinicalNo
31041C0700XSocial WorkerClinicalYes

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
11871999102OTHERNPPES
21902279839OTHERNPPES

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.