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Organization
START WELLNESS INC
Active
Organization
START WELLNESS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY GROSS (COO)
(757) 383-1590
Entity
Organization
Contact information
Practice address
103 BRINKLEY PL, PLYMOUTH, NC 27962-2201
(252) 242-4564
Mailing address
8 THE GRN # 12215, DOVER, DE 19901-3618
(252) 242-4564
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YS0200X
School Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
1041S0200X
School Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
342000000X
Transportation Network Company
—
—
Other
Enumeration date
10/18/2024
Last updated
10/18/2024
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