Organization
DEVMAR BEHAVIORAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN MARIE SIMMONDS LPA, LCAS (OWNER)
(910) 599-3397
Entity
Organization
Contact information
Practice address
501 VALLIE LN, WILMINGTON, NC 28412-2724
(910) 599-3397
Mailing address
501 VALLIE LN, WILMINGTON, NC 28412-2724
(910) 599-3397
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1979
NC
101YM0800X
Mental Health Counselor
Primary
4111
NC
Other
Enumeration date
02/15/2016
Last updated
02/15/2016
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