Organization
CULTIVATE WELLNESS COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY COLWELL (CREDENTIALING SPECIALIST)
(910) 524-8627
Entity
Organization
Contact information
Practice address
3807 WRIGHTSVILLE AVE STE 24, WILMINGTON, NC 28403-8463
(910) 902-9293
(910) 778-1156
Mailing address
4302 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-6336
(910) 902-9293
(910) 778-1156
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
09/30/2024
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