| Carolina Wellness Services Pllc | |
|
223 Wallace Rd Ellerbe NC 28338-9304 | |
| (910) 995-1541 | |
| Not Available |
| Full Name | Carolina Wellness Services Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 223 Wallace Rd, Ellerbe, North Carolina |
| Authorized Official Name and Position | Jessica Sybil Sawyer Horne (MEMBER-MANAGER) |
| Authorized Official Contact | 9109951541 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Wellness Services Pllc Po Box 597 Ellerbe NC 28338-0597 Ph: () - | Carolina Wellness Services Pllc 223 Wallace Rd Ellerbe NC 28338-9304 Ph: (910) 995-1541 |
| NPI Number | 1740820216 |
|---|---|
| Provider Enumeration Date | 01/13/2020 |
| Last Update Date | 01/20/2020 |
| Certification Date | 01/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740820216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |