ELEMENTAL HEALTH CLINIC PLLC NPI 1558015305

NPI Information

NPI: 1558015305
Provider Name: ELEMENTAL HEALTH CLINIC PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
5030 RANDALL PKWY
WILMINGTON, NC
ZIP 28403
Phone: (910) 240-4757
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ELEMENTAL HEALTH CLINIC PLLC is a mental health (including community mental health center) clinic center in Wilmington, NC. ELEMENTAL HEALTH CLINIC PLLC NPI is 1558015305. The provider is registered as an organization entity type.

The provider's business location address is:

5030 RANDALL PKWY
WILMINGTON, NC
ZIP 28403-829
Phone: (910) 240-4757

The provider's authorized official is Havah Isabel Henzler .
The authorized official title is Owner and has the following contact phone number (910) 599-4017.

The enumeration date for this NPI number is 2/10/2022 and was last updated on 2/10/2022.

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	261QM0850X	Clinic/Center	Adult Mental Health	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
3	261QM1000X	Clinic/Center	Migrant Health	No
4	261QM1100X	Clinic/Center	Military/U.S. Coast Guard Outpatient	No
5	261QM1300X	Clinic/Center	Multi-Specialty	No
6	261QP2000X	Clinic/Center	Physical Therapy	No
7	261QP2300X	Clinic/Center	Primary Care	No
8	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	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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