Meraki Center for Wellness, PLLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

51178 Issued in NC

Legal business name

MERAKI CENTER FOR WELLNESS, PLLC

Practice address

313 Trindale Rd
Suite E
Archdale, NC 27263-3800

Phone

(336) 899-7945

NPI assigned

Mar 2, 2016

Last updated

Mar 2, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Heidi Dale Woodgeard, LCAS, LCSWA, CSAC

Title

Managing Member, Therapist

Phone

(336) 804-2054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1456876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456876800000",
    "number": "1639539893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 TRINDALE RD",
            "address_2": "SUITE E",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 TRINDALE RD",
            "address_2": "SUITE E",
            "city": "ARCHDALE",
            "state": "NC",
            "postal_code": "272633800",
            "telephone_number": "336-899-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERAKI CENTER FOR WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-02",
        "last_updated": "2016-03-02",
        "status": "A",
        "authorized_official_last_name": "WOODGEARD",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "MANAGING MEMBER, THERAPIST",
        "authorized_official_telephone_number": "336-804-2054",
        "authorized_official_credential": "LCAS, LCSWA, CSAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "51178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Archdale, NC
• Providers in Archdale, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2016; 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.