Organization · NPI-2

A Different Path Mental Wellness, PLLC

Psychologist · Wilmington, NC

NPI number1083429591
StatusActive
Last updated in NPPESFeb 11, 2025

Details

NPI
1083429591
Entity type
Organization (NPI-2)
Legal business name
A Different Path Mental Wellness, PLLC
Organization subpart
No
Enumeration date
Feb 11, 2025
Certification date
Feb 11, 2025
Last updated
Feb 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
103T00000X Psychologist––Yes

Practice location

4022 Shipyard Blvd Unit 2
Wilmington, NC 28403-6190

Phone 910-726-2002 · Fax 910-401-1579

Mailing address

4201 Devonshire Ln
Wilmington, NC 28409-8145

Phone 910-726-2002 · Fax 910-401-1579

Other practice locations

1209 Culbreth Dr Ste 217
Wilmington, NC 28405-4559

Phone 910-726-2002 · Fax 910-401-1579

Authorized official

Kaitlyn Patterson
Co-Owner
9107262002

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