Organization · NPI-2

Mental Wellness Clinical Counseling And Services

Clinic/Center, Adult Mental Health · Wilson, NC

NPI number1265024863
StatusActive
Last updated in NPPESAug 22, 2023

Details

NPI
1265024863
Entity type
Organization (NPI-2)
Legal business name
Mental Wellness Clinical Counseling And Services
Organization subpart
No
Enumeration date
Feb 5, 2021
Certification date
Aug 22, 2023
Last updated
Aug 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Other names

  • Mental Wellness Clinical Counseling And Services (Doing Business As)

Practice location

127 Goldsboro St S
Wilson, NC 27893-4903

Phone 252-469-7007

Mailing address

5820 Farmwood Loop
Wilson, NC 27896-8005

Phone 252-469-7007 · Fax 252-371-1646

Authorized official

Shirria Mccullough
Owner
2524697007

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