| Hanover Mental Health, Pllc | |
|
2311 Canterwood Dr Wilmington NC 28401-7300 | |
| (910) 996-3461 | |
| (910) 390-6285 |
| Full Name | Hanover Mental Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2311 Canterwood Dr, Wilmington, North Carolina |
| Authorized Official Name and Position | Angela Williams (OWNER) |
| Authorized Official Contact | 9106194124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanover Mental Health, Pllc 1517 Futch Creek Rd Wilmington NC 28411-9375 Ph: () - | Hanover Mental Health, Pllc 2311 Canterwood Dr Wilmington NC 28401-7300 Ph: (910) 996-3461 |
| NPI Number | 1922854140 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 08/31/2025 |
| Certification Date | 08/31/2025 |
| Medicare PECOS PAC ID | 8628593373 |
|---|---|
| Medicare Enrollment ID | O20250416000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922854140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Angela M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265670160 PECOS PAC ID: 4486021664 Enrollment ID: I20221031003006 |
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