Organization
WATERYOURFIRE WELLNESS COLLECTIVE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. L. K. WINLEY PSYD, LP, HSP-P (OWNER/FOUNDER/CLINICAL DIRECTOR)
(910) 231-3725
Entity
Organization
Contact information
Practice address
15840 NC HWY 210, ROCKY POINT, NC 28457-8550
(910) 231-3725
Mailing address
15840 NC HWY 210, ROCKY POINT, NC 28457-8550
(910) 231-3725
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/14/2021
Last updated
12/05/2022
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