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Organization
EMBRACE WELLNESS COASTAL GROUP, LLC
Active
Organization
EMBRACE WELLNESS COASTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY ASTHON FAULK VAUGHAN MA, LPA, HSP-PA (OWNER/PRESIDENT)
(910) 232-6127
Entity
Organization
Contact information
Practice address
3208 OLEANDER DR, WILMINGTON, NC 28403-0800
(910) 746-8717
Mailing address
3208 OLEANDER DR, WILMINGTON, NC 28403-0800
(910) 746-8717
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871999102
NPPES
—
01
—
1902279839
NPPES
—
Enumeration date
04/26/2021
Last updated
04/26/2021
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