Organization
BLUM WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELLE KELLY MSW, LCSW, LCAS (FOUNDER)
(919) 260-5841
Entity
Organization
Contact information
Practice address
976 MARTIN LUTHER KING JR BLVD STE 270, CHAPEL HILL, NC 27514-2654
(919) 260-5841
Mailing address
976 MARTIN LUTHER KING JR BLVD STE 270, CHAPEL HILL, NC 27514-2654
(919) 260-5841
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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