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Organization

BAYSIDE COUNSELING AND WELLNESS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY RIECKEN LCSW (LCSW/OWNER)
(910) 408-5422
Entity
Organization

Contact information

Practice address
233A MERCHANTS CIR STE 100, HAMPSTEAD, NC 28443-5419
(910) 408-5422
Mailing address
233A MERCHANTS CIR STE 100, HAMPSTEAD, NC 28443-5419
(910) 408-5422

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/02/2024
Last updated
12/02/2024
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