| Safe Harbor Therapy, P.L.L.C. | |
|
515 Azalea Dr Hampstead NC 28443-8040 | |
| (910) 212-6757 | |
| Not Available |
| Full Name | Safe Harbor Therapy, P.L.L.C. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 515 Azalea Dr, Hampstead, North Carolina |
| Authorized Official Name and Position | Madeline Brophy Wieman (OWNER AND THERAPIST) |
| Authorized Official Contact | 9102126757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Therapy, P.L.L.C. 201 Alston Blvd Ste C Ste C Pmb 1003 Hampstead NC 28443-7002 | Safe Harbor Therapy, P.L.L.C. 515 Azalea Dr Hampstead NC 28443-8040 Ph: (910) 212-6757 |
| NPI Number | 1457103491 |
|---|---|
| Provider Enumeration Date | 04/03/2024 |
| Last Update Date | 04/04/2024 |
| Certification Date | 04/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457103491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
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