Organization
HEAL ON WHEELS OF NC, PLLC
Active
Other names
Heel on Wheels
Organization subpart
No
Provider details
NPI number
Authorized official
RONDESHYA K COSBY PMHNP-BC (OWNER)
(252) 370-5222
Entity
Organization
Contact information
Practice address
76 LOUISE ST, GATES, NC 27937-9834
(252) 370-5222
Mailing address
PO BOX 2977, ELIZABETH CITY, NC 27906-2977
(252) 370-5222
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/20/2022
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