Organization
BREEZEWAY COUNSELING, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY CARMEL CARPENTER LCMHC (OWNER/COUNSELOR)
(910) 880-4813
Entity
Organization
Contact information
Practice address
371 N FRONT ST STE D, WILMINGTON, NC 28401-3908
(910) 880-4813
Mailing address
25 OHANA DR NW, SUPPLY, NC 28462-4222
(910) 880-4813
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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