# PEMBROKE CENTER FOR WELLNESS, INC

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

## Provider details

- **NPI number:** 1699008144
- **Authorized official:** ELLA LYNCH (OWNER)
- **Authorized official phone:** (910) 740-3508

## Contact information

- **Practice address:** 773 OLD MAIN RD, PEMBROKE, NC 28372-8753
- **Practice address phone:** (910) 775-9201
- **Practice address fax:** (910) 521-8540
- **Mailing address:** PO BOX 3605, PEMBROKE, NC 28372-3605
- **Mailing address phone:** (910) 775-9201
- **Mailing address fax:** (910) 521-8540

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2009
- **Last updated:** 11/03/2025
