Ohana Therapy and Wellness Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

OHANA THERAPY AND WELLNESS CENTER, PLLC

Practice address

1468 Sivertsen Rd
Autryville, NC 28318-8520

Phone

(910) 835-8504

NPI assigned

Jan 27, 2022

Organization subpart

No

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

Authorized official

Name

Brandi Hudson, LCSWNPI 1992368849

Title

Owner

Phone

(910) 835-8504

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.

• Brandi Hudson

  • Clinical Social Worker
  • Fayetteville, NC
  • NPI 1992368849
  NPD Authorized official

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

{
    "created_epoch": "1643241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643241600000",
    "number": "1801549282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104B MASTERS LN",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278348019",
            "telephone_number": "910-835-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1468 SIVERTSEN RD",
            "city": "AUTRYVILLE",
            "state": "NC",
            "postal_code": "283188520",
            "telephone_number": "910-835-8504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1104B Masters Ln",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278348019",
            "country_code": "US",
            "telephone_number": "910-835-8504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OHANA THERAPY AND WELLNESS CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-835-8504",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Autryville, NC
• Providers in Autryville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.