Organization
HEALTHY BOUNDARIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH ALBERT LEBLANC LCSW, LCAS, CCAS (MEMBER-MANAGER)
(910) 794-1956
Entity
Organization
Contact information
Practice address
1920 TRADD CT, WILMINGTON, NC 28401-6637
(910) 343-6890
(910) 332-1233
Mailing address
3431 SPARROW HAWK CT, WILMINGTON, NC 28409-2538
(910) 794-1956
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1400C
BLUE CROSS BLUE SHEILD
NC
05
—
6003758
—
NC
Enumeration date
01/12/2007
Last updated
08/22/2020
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