| Mr William John Holtz Iii, MSED | |
|
814 Shelton Ct, Wilmington, NC 28412-2526 | |
| (910) 512-6287 | |
| Not Available |
| Full Name | Mr William John Holtz Iii |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 814 Shelton Ct, Wilmington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487747788 | NPI | - | NPPES |
| 6102641 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4238 (North Carolina) | Primary |
| 106H00000X | Marriage & Family Therapist | 933 (North Carolina) | Secondary |
| Entity Name | Delta Behavioral Health Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619959871 PECOS PAC ID: 0143324640 Enrollment ID: O20070322000168 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William John Holtz Iii, MSED 814 Shelton Ct, Wilmington, NC 28412-2526 Ph: (910) 512-6287 | Mr William John Holtz Iii, MSED 814 Shelton Ct, Wilmington, NC 28412-2526 Ph: (910) 512-6287 |
Mrs. Makeba Sharice Shaw, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Elisha Dr, Wilmington, NC 28405 Phone: 910-233-0355 Fax: 910-799-6263 | |
Mrs. Holly Cunningham, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3963 Market St, Suite A, Wilmington, NC 28403 Phone: 910-362-9474 Fax: 910-362-9192 | |
Kelly Nicole French, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Walnut St Ste 101, Wilmington, NC 28401 Phone: 828-214-7870 | |
Erin Mace, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 S 17th St, Wilmington, NC 28401 Phone: 910-313-3232 | |
Kristin Hoffman, MA, LCAS, LCMHC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 Wooster St, Wilmington, NC 28401 Phone: 910-386-7378 | |
Kelly Kristine Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1619 Grace St, Wilmington, NC 28401 Phone: 919-896-0214 | |
Emily Kohls, LCMHC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Military Cutoff Rd Ste 108b, Wilmington, NC 28405 Phone: 910-218-1603 Fax: 910-889-0736 |