Corey Andolfi, Ma, LMFT, Nbcch, PLLC
Organization Active NPI Marriage & Family Therapist · Carolina Beach, NC
NPI 1912376690 · NPPES record last updated Sep 23, 2015
Key facts
- NPI
- 1912376690
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 1562 (NC)
- Legal business name
- COREY ANDOLFI, MA, LMFT, NBCCH, PLLC
- Practice address
- 1328 North Lake Park Blvd., Suite 109
Carolina Beach, NC 28428-6514 - Phone
- (910) 294-0970
- Fax
- (910) 458-4824
- NPI assigned
- Sep 23, 2015
- Organization subpart
- No
Authorized official
- Name
- Corey F. Andolfi, MA, LMFT, NBCCH
- Title
- Owner
- Phone
- (910) 343-0145
Practitioners 1
-
Corey Andolfi, MA, LMFT, NBCCH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250502002092 | NC | Part B Supplier - Clinic/Group Practice | 8224555222 |
Receives reassigned benefits from 1 practitioner Practice locations: Carolina Beach, NC |
National Provider Directory
Locations
1328 Lake Park Blvd N
Ste 109
Carolina Beach, NC 28428
Phone (910) 294-0970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist |
106H00000X | 1562 | NC | Yes |
Addresses
Primary practice location
1328 North Lake Park Blvd., Suite 109
Carolina Beach, NC 28428-6514
Mailing address
1328 North Lake Park Blvd., Suite 109
Carolina Beach, NC 28428-6514
Phone (910) 294-0970
Other providers in Carolina Beach, NC
- Kaitlyn Leeann Carpenter
- Allison Carte
- Amanda Dixon Cerqueira
- Roberta Clark
- Coastal Mental Health Service Providers
- Cornerstone Care Coordination, LLC
- Donald Russel Crawford IV
- Martha Ann Dancy
- Diagnostics of Carolina,Inc
- Aimee Donaton
All providers in Carolina Beach, NC · Marriage & Family Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.