institution
Pembroke Center For Wellness, Inc
Psychiatric/Mental Health Nurse Practitioner in Pembroke, North Carolina
NPI 1467726448

Pembroke Center For Wellness, Inc is a Psychiatric/Mental Health Nurse Practitioner based in Pembroke, NC and is specialized in Psychiatric/Mental Health. Pembroke Center For Wellness, Inc practices in Pembroke, NC. The NPI Number for Pembroke Center For Wellness, Inc is 1467726448 and holds a License No. C006439 (North Carolina).

The current practice location address for Pembroke Center For Wellness, Inc is 773 Old Main Rd, Pembroke, NC and can be reached out via phone at 910-775-9201 and via fax at 910-521-8540.

Location: 773 Old Main Rd, Pembroke, NC, 28372-8753
institution
Provider Profile Details
NPI Number
1467726448
Provider Name
Pembroke Center For Wellness, Inc
Credential
Provider Entity Type
Organization
Address
773 Old Main Rd, Pembroke, NC, 28372-8753
Phone Number
910-775-9201
Fax Number
910-521-8540
Provider Enumeration Date
03/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5917311 05 NC
institution
Provider Business Practice Location Address Details
Address
773 Old Main Rd
City
State
Zip
28372-8753
Phone Number
910-775-9201
Fax Number
910-521-8540
person
Provider Business Mailing Address Details
Address
773 Old Main Rd
City
State
Zip
28372-8753
Phone Number
910-775-9201
Fax Number
910-521-8540
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
License No.
5000705 (North Carolina)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
License No.
LMFT-1304 (North Carolina)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
C006439 (North Carolina)
Definition
Definition to come...
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