Organization
WELL ROOTED MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA ANNE ANTINARELLA PMHNP (OWNER)
(252) 581-1912
Entity
Organization
Contact information
Practice address
3118 N CROATAN HWY STE 206, KILL DEVIL HILLS, NC 27948-9252
(252) 581-1912
(252) 408-4318
Mailing address
138 HIGH DUNE LOOP, KITTY HAWK, NC 27949-3707
(525) 811-9122
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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