NPI | 1497533087 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE BERNICE WILSON Owner/Licensed Clinician 910-964-0075 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
103K00000X Behavior Analyst | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TC0700X Psychologist, Clinical | |
103TP0814X Psychologist, Psychoanalysis | |
1041C0700X Social Worker, Clinical | |
106H00000X Marriage & Family Therapist | |
106S00000X Behavior Technician | |
163WP0808X Registered Nurse, Psych/Mental Health | |
171400000X Health & Wellness Coach | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
363A00000X Physician Assistant | |
363LP0808X Nurse Practitioner, Psych/Mental Health | |
Enumeration Date | 2023-09-15 |
Last Update Date | 2023-09-15 |