| Corey Andolfi, Ma, Lmft, Nbcch, Pllc | |
|
1328 North Lake Park Blvd., Suite 109 Carolina Beach NC 28428-6514 | |
| (910) 294-0970 | |
| (910) 458-4824 |
| Full Name | Corey Andolfi, Ma, Lmft, Nbcch, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1328 North Lake Park Blvd., Suite 109, Carolina Beach, North Carolina |
| Authorized Official Name and Position | Corey F. Andolfi (OWNER) |
| Authorized Official Contact | 9103430145 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Corey Andolfi, Ma, Lmft, Nbcch, Pllc 1328 North Lake Park Blvd., Suite 109 Carolina Beach NC 28428-6514 Ph: (910) 294-0970 | Corey Andolfi, Ma, Lmft, Nbcch, Pllc 1328 North Lake Park Blvd., Suite 109 Carolina Beach NC 28428-6514 Ph: (910) 294-0970 |
| NPI Number | 1912376690 |
|---|---|
| Provider Enumeration Date | 09/23/2015 |
| Last Update Date | 09/23/2015 |
| Medicare PECOS PAC ID | 8224555222 |
|---|---|
| Medicare Enrollment ID | O20250502002092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912376690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 1562 (North Carolina) | Primary |
| Provider Name | Corey Andolfi |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1609184431 PECOS PAC ID: 9133646136 Enrollment ID: I20250502002206 |
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