Wateryourfire Wellness Collective, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

WATERYOURFIRE WELLNESS COLLECTIVE, PLLC

Practice address

15840 NC Hwy 210
Rocky Point, NC 28457-8550

Phone

(910) 231-3725

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. L. K. Winley, PSYD, LP, HSP-PNPI 1972923084

Title

Owner/Founder/Clinical Director

Phone

(910) 231-3725

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• L. K. Winley, PSYD, LP, HSP-P

  • Clinical Psychologist
  • Rocky Point, NC
  • NPI 1972923084
  NPD Authorized official

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1083282362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15840 NC HWY 210",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578550",
            "telephone_number": "910-231-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15840 NC HWY 210",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284578550",
            "telephone_number": "910-231-3725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERYOURFIRE WELLNESS COLLECTIVE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "WINLEY",
        "authorized_official_first_name": "L.",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER/FOUNDER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "910-231-3725",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LP, HSP-P"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Erin Triplett, MSW, LCSWA
• Madison Blair Tripp, LCSWA
• John C. Wadsworth, PA-C
• Isabella Latifa Warren, LCSWA
• Victoria Washington, MSW, LCSWA
• Khalandra Nicole Williams, LCSWA
• L. K. Winley, PSYD, LP, HSP-P
• Damien Cheong CHI Yee, LCSWA
• Daniel Francis Zinicola, M.D.

• Clinical Psychologist in Rocky Point, NC
• Providers in Rocky Point, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.