Organization
WILMINGTON MENTAL HEALTH, PLLC
Active
Other names
Wilmington Mental Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH RENGIFO MA, LCMHC, LCAS, CSI (PSYCHOTHERAPIST)
(910) 777-5575
Entity
Organization
Contact information
Practice address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Mailing address
3825 MARKET ST STE 4, WILMINGTON, NC 28403-1426
(910) 777-5575
(910) 777-5273
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/30/2019
Last updated
01/26/2023
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