Panacea Mental Wellness PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PANACEA MENTAL WELLNESS PLLC

Practice address

118 Brookside Way
Pikeville, NC 27863-8480

Phone

(336) 817-1525

NPI assigned

Sep 23, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Dana Cea, LCMHC, CRC, NBCCNPI 1750956058

Title

Owner

Phone

(336) 817-1525

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Dana Cea

  • Mental Health Counselor
  • Pikeville, NC
  • NPI 1750956058
  NPD Authorized official

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663891200000",
    "number": "1154044139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 BROOKSIDE WAY",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 BROOKSIDE WAY",
            "city": "PIKEVILLE",
            "state": "NC",
            "postal_code": "278638480",
            "telephone_number": "336-817-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PANACEA MENTAL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-23",
        "last_updated": "2022-09-23",
        "certification_date": "2022-09-23",
        "status": "A",
        "authorized_official_last_name": "CEA",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-817-1525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCMHC, CRC, NBCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dana@panaceamw.com",
            "affiliation": "N",
            "address_1": "118 Brookside Way",
            "city": "Pikeville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278638480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Pikeville, NC
• Providers in Pikeville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.