The Launch Pad Wellness, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

THE LAUNCH PAD WELLNESS, LLC

Practice address

1105 Merchant LN
Carolina Beach, NC 28428-4716

Phone

(910) 769-6053

NPI assigned

Jun 2, 2016

Last updated

Jun 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

Loralie Grigas

Title

Administrative

Phone

(919) 769-9048

Specialties & licenses 1

Addresses

Tax ID family

Launch Pad Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Launch Pad Wellness LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Wilmington, NC
  • NPI 1518349000
  NPD tax ID

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.

• Jessica Plemmons Smith, LCAS, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Wilmington, NC
  • NPI 1861842221
  NPD

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464825600000",
    "number": "1932557766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 WRIGHTSVILLE AVE",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284034111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 MERCHANT LN",
            "city": "CAROLINA BEACH",
            "state": "NC",
            "postal_code": "284284716",
            "telephone_number": "910-769-6053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LAUNCH PAD WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A",
        "authorized_official_last_name": "GRIGAS",
        "authorized_official_first_name": "LORALIE",
        "authorized_official_title_or_position": "ADMINISTRATIVE",
        "authorized_official_telephone_number": "919-769-9048"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shoreview Medical Associates, PLLC
• Vincent Robert Smith, DDS
• Hannah Solum, LICSW
• Karen Lee Stebbins, RN
• Timothy C Swing, DDS
• Tides of Change PLLC
• Jennifer Vera, RN
• Melodye Elliott Visser, MD
• Sierra K Vogel, PA-C
• Walgreen Co (Walgreens #07981)

• Multi-Specialty Clinic/Center in Carolina Beach, NC
• Providers in Carolina Beach, NC by specialty
• Multi-Specialty Clinic/Center in North Carolina

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