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Organization
ORINOCO WELLNESS, LC
Active
Organization
ORINOCO WELLNESS, LC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN J BARNES (PRESIDENT)
(336) 265-6723
Entity
Organization
Contact information
Practice address
200 N MAIN ST, GRAHAM, NC 27253-2853
(336) 265-6595
Mailing address
624 BONAVENTURE DR UNIT 302, MYRTLE BEACH, SC 29577-9509
(336) 613-7480
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PG1298
—
SC
Enumeration date
12/13/2022
Last updated
07/31/2023
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