Wilmington Health Access For Teens in Wilmington - Mental Health
Wilmington Health Access For Teens - NPI 1063547990
Wilmington Health Access For Teens is a Mental Health in Wilmington, North Carolina. Wilmington Health Access For Teens practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Wilmington Health Access For Teens is 1063547990. The last update date is 2020-08-22.
Wilmington Health Access For Teens's current location address is 4005 Oleander Dr, Wilmington, North Carolina. You can contact this provider via phone number 9107909949 and fax number 9107909455. The mailing address for Wilmington Health Access For Teens is 4005 Oleander Dr, Wilmington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wilmington Health Access For Teens |
|---|---|
| Address | 4005 Oleander Dr, Wilmington, North Carolina |
| Phone Number | 9107909949 |
| Fax Number | 9107909455 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEDICAL OF |
|---|---|
| Authorized Official Name | Van De Bovenkamp Maria |
| Credentials | CMA |
| Telephone Number | 9107909949 |
NPI Number Detail
| NPI Number | 1063547990 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 4005 Oleander Dr |
|---|---|
| City | Wilmington |
| State | North Carolina (NC) |
| Post Code | 284036816 |
| Phone Number | 9107909949 |
| Fax Number | 9107909455 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6005591 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Wilmington Health Access For Teens by the Centers for Medicare & Medicaid Services?
The Wilmington Health Access For Teens has been assigned the NPI (National Provider Identifier) 1063547990 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Wilmington Health Access For Teens?
The Wilmington Health Access For Teens is physically situated at 4005 Oleander Dr, in the city of Wilmington, state of NC, with the postal code 284036816.
What is the Wilmington Health Access For Teens's area of specialization and corresponding taxonomy classification?
The Wilmington Health Access For Teens's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date did the Wilmington Health Access For Teens receive the assignment of its 1063547990 from the Centers for Medicare & Medicaid Services?
The Wilmington Health Access For Teens was issued its 1063547990 by the Centers for Medicare & Medicaid Services on 2007-02-22.
As of what date were the details related to Wilmington Health Access For Teens most recently updated or revised?
The information pertaining to Wilmington Health Access For Teens, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.