Wrightsville Beach Counseling Center, PLLC

Primary specialty

Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X

Legal business name

WRIGHTSVILLE BEACH COUNSELING CENTER, PLLC

Practice address

530 Causeway Dr Ste C
Wrightsville Beach, NC 28480-1959

Phone

(910) 262-1048

Fax

(910) 256-6039

NPI assigned

Sep 1, 2020

Organization subpart

No

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

Authorized official

Name

Diane Atkinson

Title

Practice Administrator

Phone

(910) 262-1048

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598918400000",
    "number": "1104430727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 CAUSEWAY DR STE C",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801959",
            "telephone_number": "910-262-1048",
            "fax_number": "910-256-6039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 CAUSEWAY DR STE C",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "284801959",
            "telephone_number": "910-262-1048",
            "fax_number": "910-256-6039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHTSVILLE BEACH COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "910-262-1048"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Internal Medicine) Physician in Wrightsville Beach, NC
• Providers in Wrightsville Beach, NC by specialty
• Addiction Medicine (Internal Medicine) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2020; 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.