Organization
SEAGLASS WELLNESS LLC
Active
Organization
SEAGLASS WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICK BARNEY LCSW (PARTNER)
(828) 772-6121
Entity
Organization
Contact information
Practice address
2301 DELANEY AVE, WILMINGTON, NC 28403-6012
(828) 772-6121
Mailing address
5027 WRIGHTSVILLE AVE, WILMINGTON, NC 28403-7046
(910) 599-6055
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
06/11/2019
Last updated
03/03/2021
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