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Organization
TIRZAH WELLNESS CENTER, PLLC
Active
Organization
TIRZAH WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN DENISE JACKSON LCSW (CEO)
(910) 520-6083
Entity
Organization
Contact information
Practice address
3205 RANDALL PKWY STE 121, WILMINGTON, NC 28403-2567
(910) 782-8042
(910) 782-8042
Mailing address
3205 RANDALL PKWY STE 121, WILMINGTON, NC 28403-2567
(910) 782-8042
(910) 782-8042
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
NC
251S00000X
Community/Behavioral Health Agency
Primary
C011298
NC
Other
Enumeration date
05/30/2018
Last updated
03/29/2023
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