Organization
MONUMENTAL FOUNDATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE SIMMONS LCMHC,LCAS,CCS (OWNER)
(910) 540-6749
Entity
Organization
Contact information
Practice address
108 N KERR AVE STE C2, WILMINGTON, NC 28405-3439
(910) 540-6749
Mailing address
3953B MARKET ST, WILMINGTON, NC 28403-1403
(910) 540-6749
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386159929
—
NC
Enumeration date
12/05/2017
Last updated
08/07/2023
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