Organization
BAYSIDE COUNSELING AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY RIECKEN (LCSW)
(910) 408-5422
Entity
Organization
Contact information
Practice address
233A MERCHANTS CIR STE 100, HAMPSTEAD, NC 28443-5419
(910) 408-5422
Mailing address
158 SCRUB OAKS DR, HAMPSTEAD, NC 28443-3799
(910) 408-5422
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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