MADE WELL CENTER FOR WHOLENESS, LLC (NPI# 1629542287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629542287 |
| Entity Type | Organization |
| Organization Name | MADE WELL CENTER FOR WHOLENESS, LLC |
| Practice Address |
4914 Grouse Woods Dr Wilmington NC 28411-6538 |
| Practice Telephone | 2529026648 |
| Enumeration Date | 2019-01-17 |
| Last Update Date | 2019-01-17 |
| Authorized Official Name | CHELSIE ANDREWS (OWNER/THERAPIST) |
| Authorized Official Telephone | 2529026648 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174H00000X | Health Educator | Other Service Providers | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
4914 GROUSE WOODS DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28411-6538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447744941 | Mercedes Wilkins Mclaughlin | Social Worker | 7008 Cape Harbor Dr Apt A, Wilmington, NC 28411 | 2018-06-18 |
| 1619480811 | Physical Therapy Services of Wilmington At Porter's Neck, LLC | Physical Therapist | 167 Porters Neck Road, Suite D, Suite D, Wilmington, NC 28411 | 2017-11-09 |
| 1578954970 | Erin Fitzpatrick Vasquez | Physical Therapist | 441 Biscayne Dr., Wilmington, NC 28411 | 2015-02-07 |
| 1679961932 | Sheena Cannady | Occupational Therapy Assistant | 7205 Savanna Run Loop, Wilmington, NC 28411 | 2015-01-08 |
| 1548510753 | Lindsey Tarrant Pediatric Speech Pathology Services | Speech-Language Pathologist | 7842 Olde Pond Rd, Wilmington, NC 28411 | 2012-09-14 |
| 1912224601 | Michele Ann Hardee | Physical Therapy Assistant | 1011 Porters Neck Road, Wilmington, NC 28411 | 2010-04-21 |
| 1629216577 | Plantation Village | In Home Supportive Care | 1200 Porters Neck Rd, Wilmington, NC 28411 | 2009-01-30 |
| 1467606095 | Dana B. Shumate Dds, Pa | Dentist | 8131 Market St, Wilmington, NC 28411 | 2008-11-10 |
| 1427212745 | Malgorzata Maria Betkowski | Counselor | 8044 Market Street, Suite D, Wilmington, NC 28411 | 2008-07-16 |
| 1366625014 | The Lawson's House | Day Training, Developmentally Disabled Services | 6622 F Gordan Rd, Wilmington, NC 28411 | 2007-12-17 |
| Find all providers in zip 28411 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427656172 | Jennifer Hickman Grimm | Counselor | 1014 Steeplechase Rd, Wilmington, NC 28412-7206 | 2020-10-14 |
| 1821696717 | Tessa Jane Bolz | Counselor | 2426 Monroe St, Wilmington, NC 28401-7026 | 2020-10-13 |
| 1588278600 | Kimberly Jackson | Counselor | 2703 N Harrison St, Wilmington, DE 19802-2924 | 2020-09-04 |
| 1134746399 | Heather Nicole Freeman | Counselor | 771 Bonaire Rd, Wilmington, NC 28412-3282 | 2020-07-02 |
| 1497393441 | Julie Elaine Campana | Counselor | 501 Silverside Rd Ste 50, Wilmington, DE 19809-1388 | 2019-12-19 |
| 1205473360 | Keonna M Freeman | Counselor | 5700 Kirkwood Hwy Ste 204, Wilmington, DE 19808-4884 | 2019-12-06 |
| 1699311381 | Rebecca L Dries | Counselor | 1201 W 7th St Apt 3, Wilmington, DE 19805-3258 | 2019-11-18 |
| 1811532286 | Carolyn Elizabeth Lehman | Counselor | 815 N Harrison St, Wilmington, DE 19806-4628 | 2019-11-09 |
| 1639713183 | Richard Luke Loveless Jr. | Counselor | 3719 Washington Ave, Wilmington, DE 19808-6034 | 2019-10-28 |
| 1396388153 | Jennifer Cook | Counselor | 5710 Oleander Dr Ste 112, Wilmington, NC 28403-4722 | 2019-10-24 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28411 |
Please comment or provide details below to improve the information on MADE WELL CENTER FOR WHOLENESS, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.