The Mental Health and Wellness Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

900278 Issued in NC

Legal business name

THE MENTAL HEALTH AND WELLNESS CLINIC, PLLC

Practice address

1978 Waccamaw Path
Winston Salem, NC 27127-9433

Phone

(336) 391-5701

NPI assigned

Feb 21, 2008

Last updated

Jun 30, 2010By 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

Betty L Martin-Watson, ANP/GNPNPI 1134245343

Title

Ceo

Phone

(336) 391-5701

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Betty Martin-Watson, ANP-BC

  • Nurse Practitioner
  • Kernersville, NC
  • NPI 1134245343
  NPD (past) Authorized official

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1881863082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1978 WACCAMAW PATH",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271279433",
            "telephone_number": "336-391-5701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1978 WACCAMAW PATH",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271279433",
            "telephone_number": "336-391-5701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MENTAL HEALTH AND WELLNESS CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "MARTIN-WATSON",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-391-5701",
        "authorized_official_credential": "ANP/GNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NC",
            "license": "900278",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "102293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• The Huntley Counseling Center, PLLC
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• The Mercy Grace Group
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• The Neil Group, Inc
• The Rehabilitation and Skilled Nursing Facility at Oak Summit
• The Rehabilitation and Skilled Nursing Facility at Oak Summit

• Primary Care Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Primary Care Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.