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Organization
CLEMONS RESILIENCY & WELLNESS PLLC
Active
Organization
CLEMONS RESILIENCY & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ANTOINNE CLEMONS NURSE PRACTITIONER (OWNER)
(919) 306-6074
Entity
Organization
Contact information
Practice address
833 WAKE FOREST BUSINESS PARK STE F, WAKE FOREST, NC 27587-7184
(919) 368-8839
Mailing address
1404 THE PINES PL, WAKE FOREST, NC 27587-1742
(919) 306-6074
(984) 297-8776
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/08/2023
Last updated
04/05/2024
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