Organization
BERN COUNSELING GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE D WYATT LPC (CEO)
(252) 634-2855
Entity
Organization
Contact information
Practice address
1315 S GLENBURNIE RD, STE. D-17, NEW BERN, NC 28562-2613
(252) 634-2855
(252) 634-2955
Mailing address
1315 S GLENBURNIE RD, STE. D-17, NEW BERN, NC 28562-2613
(252) 634-2855
(252) 634-2955
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018E0
BC
NC
01
—
128707
MEDCOST
NC
01
—
381759
TRICARE
NC
05
—
6005874
—
NC
Enumeration date
10/25/2006
Last updated
08/22/2020
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