Jake Wilensky
Organization Active NPI Mental Illness Community Based Residential Treatment Facility · Mill Spring, NC
NPI 1093105165 · NPPES record last updated Jan 28, 2015
Key facts
- NPI
- 1093105165
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Illness Community Based Residential Treatment Facility 320800000X
- License
- LPCS 9724 (NC)
- Legal business name
- JAKE WILENSKY
- Practice address
- 101 Healing Farm LN
Mill Spring, NC 28756-5808 - Phone
- (828) 899-0100
- NPI assigned
- Jan 28, 2015
- Organization subpart
- No
Authorized official
- Name
- Jake Wilensky, LPCS
- Title
- Psychotherapist
- Phone
- (828) 899-0100
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | LPCS 9724 | NC | Yes |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | LPC 9724 | NC |
Addresses
Primary practice location
101 Healing Farm LN
Mill Spring, NC 28756-5808
Mailing address
101 Healing Farm LN
Mill Spring, NC 28756-5808
Other providers in Mill Spring, NC
- Chelsea Elizabeth Etheridge
- Lisa Florenzano
- Colleen M. Green
- Scott D Hart
- Adam Jahnke
- Jerry Johnson
- Mary Stewart Schweder Kallenbach
- Susan Jane Lane
- Marilyn Malcolm
- Thomas Wylie McDonald
All providers in Mill Spring, NC · Mental Illness Community Based Residential Treatment Facility in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.