| Liminal Healing Pllc | |
|
214 New Bridge St Jacksonville NC 28540-4737 | |
| (910) 333-2422 | |
| Not Available |
| Full Name | Liminal Healing Pllc |
|---|---|
| Speciality | Counselor |
| Location | 214 New Bridge St, Jacksonville, North Carolina |
| Authorized Official Name and Position | Malena Goodnight (OWNER) |
| Authorized Official Contact | 9103332422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Liminal Healing Pllc 521 Yopp Rd # Pnb234 Jacksonville NC 28540-3595 Ph: (910) 333-2422 | Liminal Healing Pllc 214 New Bridge St Jacksonville NC 28540-4737 Ph: (910) 333-2422 |
| NPI Number | 1770383044 |
|---|---|
| Provider Enumeration Date | 03/17/2025 |
| Last Update Date | 08/19/2025 |
| Certification Date | 08/19/2025 |
| Medicare PECOS PAC ID | 4284153024 |
|---|---|
| Medicare Enrollment ID | O20250527000164 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770383044 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Malena Goodnight |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790355626 PECOS PAC ID: 5193244937 Enrollment ID: I20250527000633 |
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