Organization · NPI-2

Regrowth Counseling PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Wilson, NC

NPI number1003573981
StatusActive
Last updated in NPPESNov 26, 2021

Details

NPI
1003573981
Entity type
Organization (NPI-2)
Legal business name
Regrowth Counseling PLLC
Organization subpart
No
Enumeration date
Nov 26, 2021
Certification date
Nov 26, 2021
Last updated
Nov 26, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

5217 Castlewood Dr
Wilson, NC 27893-9109

Phone 336-210-5627

Mailing address

5217 Castlewood Dr
Wilson, NC 27893-9109

Phone 336-210-5627

Authorized official

Autumn Cooper
Owner
3362105627

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