| Wateryourfire Wellness Collective, Pllc | |
|
15840 Nc Hwy 210 Rocky Point NC 28457-8550 | |
| (910) 231-3725 | |
| Not Available |
| Full Name | Wateryourfire Wellness Collective, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 15840 Nc Hwy 210, Rocky Point, North Carolina |
| Authorized Official Name and Position | L. K. Winley (OWNER/FOUNDER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9102313725 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wateryourfire Wellness Collective, Pllc 15840 Nc Hwy 210 Rocky Point NC 28457-8550 Ph: (910) 231-3725 | Wateryourfire Wellness Collective, Pllc 15840 Nc Hwy 210 Rocky Point NC 28457-8550 Ph: (910) 231-3725 |
| NPI Number | 1083282362 |
|---|---|
| Provider Enumeration Date | 06/14/2021 |
| Last Update Date | 12/05/2022 |
| Certification Date | 12/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083282362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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