| Destination Wellness Therapy Pllc | |
|
108 Giles Ave Ste 102 Wilmington NC 28403-4759 | |
| (252) 560-0777 | |
| Not Available |
| Full Name | Destination Wellness Therapy Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 108 Giles Ave Ste 102, Wilmington, North Carolina |
| Authorized Official Name and Position | Lindsay Hayes (OWNER) |
| Authorized Official Contact | 2525600777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Destination Wellness Therapy Pllc 2610 Soft Sky Ln Wilmington NC 28409-5831 Ph: (252) 560-0777 | Destination Wellness Therapy Pllc 108 Giles Ave Ste 102 Wilmington NC 28403-4759 Ph: (252) 560-0777 |
| NPI Number | 1497576680 |
|---|---|
| Provider Enumeration Date | 10/21/2024 |
| Last Update Date | 10/21/2024 |
| Certification Date | 10/21/2024 |
| Medicare PECOS PAC ID | 8527591551 |
|---|---|
| Medicare Enrollment ID | O20241030000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497576680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Lindsay Elizabeth Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700404555 PECOS PAC ID: 6507279981 Enrollment ID: I20201231001403 |
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