# THE MENTAL HEALTH AND WELLNESS CLINIC, PLLC

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

## Provider details

- **NPI number:** 1881863082
- **Authorized official:** BETTY L MARTIN-WATSON ANP/GNP (CEO)
- **Authorized official phone:** (336) 391-5701

## Contact information

- **Practice address:** 1978 WACCAMAW PATH, WINSTON SALEM, NC 27127-9433
- **Practice address phone:** (336) 391-5701
- **Mailing address:** 1978 WACCAMAW PATH, WINSTON SALEM, NC 27127-9433
- **Mailing address phone:** (336) 391-5701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | 102293 | NC | — |
| 261QP2300X | Primary Care Clinic/Center | 900278 | NC | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 06/30/2010