Organization
AERIAL WELLNESS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTIAN WEBB (CEO, PRINCIPAL PSYCHOTHERAPIST)
(336) 441-7392
Entity
Organization
Contact information
Practice address
615 SAINT GEORGE SQUARE CT STE 300, WINSTON-SALEM, NC 27103
(336) 441-7392
Mailing address
615 SAINT GEORGE SQUARE CT STE 300, WINSTON-SALEM, NC 27103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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