Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIVERSE WELLNESS SOLUTIONS INC
Active
Organization
DIVERSE WELLNESS SOLUTIONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIMBALL JANE-MARIE SARGENT MSN, PMHCNS-BC (OWNER/PRESIDENT)
(919) 838-0804
Entity
Organization
Contact information
Practice address
7155 SUNSET LAKE RD, FUQUAY VARINA, NC 27526-8638
(919) 838-0804
(919) 838-1219
Mailing address
7155 SUNSET LAKE RD, FUQUAY VARINA, NC 27526-8638
(919) 838-0804
(919) 838-1219
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
0261495-01
NC
261QM0855X
Adolescent and Children Mental Health Clinic/Center
0261495-01
NC
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0261495-01
NC
Other
Enumeration date
05/06/2011
Last updated
01/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers