Organization
GUIDING WELLNESS INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELSY TIMAS (FOUNDER/CEO)
(910) 864-6257
Entity
Organization
Contact information
Practice address
143 SKATEWAY DR, FAYETTEVILLE, NC 28304-2640
(910) 864-6257
Mailing address
143 SKATEWAY DR, FAYETTEVILLE, NC 28304-2640
(910) 864-6257
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QS1000X
Student Health Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
302R00000X
Health Maintenance Organization
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275172298
—
NC
Enumeration date
04/02/2020
Last updated
04/02/2020
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