# SMEG FAMILY MENTAL HEALTH

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

## Provider details

- **NPI number:** 1578986931
- **Authorized official:** MR. RICHARD WILSON JR. (OWNER/CEO)
- **Authorized official phone:** (252) 364-8972

## Contact information

- **Practice address:** 610A OLD TAR VILLAGE RD, WINTERVILLE, NC 28590-7936
- **Practice address phone:** (252) 364-8972
- **Practice address fax:** (252) 364-8971
- **Mailing address:** 610A OLD TAR VILLAGE RD, WINTERVILLE, NC 28590-7936
- **Mailing address phone:** (252) 364-8972
- **Mailing address fax:** (252) 364-8971

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WP0808X | Psychiatric/Mental Health Registered Nurse | 5003235 | NC | Yes |

## Other

- **Enumeration date:** 01/21/2014
- **Last updated:** 01/21/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 6113048 | — | NC |