Carolina Wellness And Counseling, Pllc | |
2405 Nash St Nw Ste D Wilson NC 27896-1634 | |
(252) 319-5454 | |
(252) 376-1009 |
Full Name | Carolina Wellness And Counseling, Pllc |
---|---|
Speciality | Counselor |
Location | 2405 Nash St Nw Ste D, Wilson, North Carolina |
Authorized Official Name and Position | Angela H Small (OWNER, PSYCHOTHERAPIST) |
Authorized Official Contact | 2523195454 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Carolina Wellness And Counseling, Pllc 2405 Nash St Nw Ste D Wilson NC 27896-1634 Ph: (252) 319-5454 | Carolina Wellness And Counseling, Pllc 2405 Nash St Nw Ste D Wilson NC 27896-1634 Ph: (252) 319-5454 |
NPI Number | 1376989756 |
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Provider Enumeration Date | 05/13/2013 |
Last Update Date | 05/05/2025 |
Certification Date | 05/05/2025 |
Medicare PECOS PAC ID | 2567990674 |
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Medicare Enrollment ID | O20250116001509 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376989756 | NPI | - | NPPES |
1568786424 | Other | NC | BCBS |
506455 | Other | TRICARE | |
1568786424 | Other | INDIVIDUAL NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 7879 (North Carolina) | Primary |
Provider Name | Angela Henderson Small |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1568786424 PECOS PAC ID: 3476081589 Enrollment ID: I20250116001731 |
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