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Organization
SE WELLNESS & BEHAVIORAL HEALTH, PLLC
Active
Organization
SE WELLNESS & BEHAVIORAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANATA EDWARDS LCMHC, LCASA (THERAPIST)
(910) 726-6584
Entity
Organization
Contact information
Practice address
321 N FRONT ST STE 110, WILMINGTON, NC 28401-3908
(910) 297-1765
Mailing address
321 N FRONT ST STE 110, WILMINGTON, NC 28401-3908
(910) 297-1766
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/20/2025
Last updated
07/02/2026
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