| Wilmington Mental Health, Pllc | |
|
3825 Market St Ste 4 Wilmington NC 28403-1426 | |
| (910) 777-5575 | |
| (910) 777-5273 |
| Full Name | Wilmington Mental Health, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3825 Market St Ste 4, Wilmington, North Carolina |
| Authorized Official Name and Position | Joseph Rengifo (PSYCHOTHERAPIST) |
| Authorized Official Contact | 9107775575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wilmington Mental Health, Pllc 3825 Market St Ste 4 Wilmington NC 28403-1426 Ph: (910) 777-5575 | Wilmington Mental Health, Pllc 3825 Market St Ste 4 Wilmington NC 28403-1426 Ph: (910) 777-5575 |
| NPI Number | 1396206330 |
|---|---|
| Provider Enumeration Date | 03/30/2019 |
| Last Update Date | 01/26/2023 |
| Medicare PECOS PAC ID | 8325439201 |
|---|---|
| Medicare Enrollment ID | O20220104000995 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396206330 | NPI | - | NPPES |
| Provider Name | Jane Schwarting |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215304852 PECOS PAC ID: 5294035325 Enrollment ID: I20151123000258 |
| Provider Name | Brooke C. Maple |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780932319 PECOS PAC ID: 4789833674 Enrollment ID: I20180326000932 |
| Provider Name | Perry Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740374438 PECOS PAC ID: 0840391819 Enrollment ID: I20221208001593 |
| Provider Name | Jacqueline Owen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215171608 PECOS PAC ID: 5991856296 Enrollment ID: I20231115001109 |
| Provider Name | Joseph Rengifo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952842007 PECOS PAC ID: 4880093194 Enrollment ID: I20240109003947 |
| Provider Name | Havah Henzler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053608398 PECOS PAC ID: 9638512445 Enrollment ID: I20240208003013 |
| Provider Name | Renee Ann Beauregard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073376950 PECOS PAC ID: 1951748060 Enrollment ID: I20240326000120 |
| Provider Name | Richard Gage Howard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689324899 PECOS PAC ID: 4880136753 Enrollment ID: I20240606002080 |
| Provider Name | Adam Howell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699124883 PECOS PAC ID: 9133669203 Enrollment ID: I20240904003865 |
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