| Wings Of Flight Center For Change, Pllc | |
|
118 Ebenezer Rd Old Fort NC 28762-7846 | |
| (828) 407-0880 | |
| Not Available |
| Full Name | Wings Of Flight Center For Change, Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 118 Ebenezer Rd, Old Fort, North Carolina |
| Authorized Official Name and Position | Brandi Lynn Harris (OWNER/THERAPIST) |
| Authorized Official Contact | 8284070880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wings Of Flight Center For Change, Pllc 118 Ebenezer Rd Old Fort NC 28762-7846 Ph: (828) 407-0880 | Wings Of Flight Center For Change, Pllc 118 Ebenezer Rd Old Fort NC 28762-7846 Ph: (828) 407-0880 |
| NPI Number | 1679234017 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679234017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |