# CAROLINA BEHAVIORAL HEALTH AND WELLNESS, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285236760
- **Authorized official:** KIZZY H PETERSEN FNP, PMHNP (PRESIDENT)
- **Authorized official phone:** (919) 522-7351

## Contact information

- **Practice address:** 101 BANDON DR, NEW BERN, NC 28562-2300
- **Practice address phone:** (919) 522-7351
- **Mailing address:** 101 BANDON DR, NEW BERN, NC 28562-2300
- **Mailing address phone:** (919) 522-7351

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/10/2020