Cultivate Wellness Counseling, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

CULTIVATE WELLNESS COUNSELING, PLLC

Practice address

3807 Wrightsville Ave Ste 24
Wilmington, NC 28403-8463

Phone

(910) 902-9293

Fax

(910) 778-1156

NPI assigned

Jun 20, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Colwell

Title

Credentialing Specialist

Phone

(910) 524-8627

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1013751569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036336",
            "telephone_number": "910-902-9293",
            "fax_number": "910-778-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 WRIGHTSVILLE AVE STE 24",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038463",
            "telephone_number": "910-902-9293",
            "fax_number": "910-778-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CULTIVATE WELLNESS COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "COLWELL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "910-524-8627"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Cuan, O.D.
• Lawrence James Cuba III, MPT, ATP
• Claudia Cuevas
• Jonathan Trent Cuevas, CRNA
• Daniel Andrew Culbreth, PA
• Amanda Grace Cummings, MSN, RN
• Arlene Nancy Cummings, PTA
• Sally P Cummings, FNP-C
• Gabriele Cuna, PA-C
• Caili Rose Cunningham, RBT

• All providers in Wilmington, NC
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.