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Larry Wellman
Community/Behavioral Health Agency in Wilson, North Carolina
NPI 1023138161

Larry Wellman is a Community/Behavioral Health Agency based in Wilson, NC. Larry Wellman practices in Wilson, NC. The NPI Number for Larry Wellman is 1023138161 and holds a License No. MHL098077 (North Carolina).

The current practice location address for Larry Wellman is 410 Garner St W, Wilson, NC and can be reached out via phone at 252-237-4242 and via fax at 252-237-8917.

Location: 410 Garner St W, Wilson, NC, 27893-2835
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023138161
Provider Name
Larry Wellman
Credential
Provider Entity Type
Individual
Gender
Male
Address
410 Garner St W, Wilson, NC, 27893-2835
Phone Number
252-237-4242
Fax Number
252-237-8917
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8301975B 05 NC
7804567 05 NC
institution
Provider Business Practice Location Address Details
Address
410 Garner St W
City
Wilson
State
North Carolina
Zip
27893-2835
Phone Number
252-237-4242
Fax Number
252-237-8917
person
Provider Business Mailing Address Details
Address
410 Garner St W
City
Wilson
State
North Carolina
Zip
27893-2835
Phone Number
252-237-4242
Fax Number
252-237-8917
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
177F00000X
License No.
()
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
MHL098077 (North Carolina)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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