Diverse Wellness Solutions Inc

LBN: Diverse Wellness Solutions Inc
Diverse Wellness Solutions Inc is an health care organization with primary practice located at 7155 Sunset Lake Rd , Fuquay Varina NC 27526-8638. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is the primary health care specialty. Diverse Wellness Solutions Inc can be contacted via phone (919) 838-0804, or through Sargent, Kimball Jane-Marie via phone (919) 838-0804.

Contact Information

Primary practice address
7155 Sunset Lake Rd Fuquay Varina NC 27526-8638
Phone: (919) 838-0804
Fax: (919) 838-1219
Website:
Map and Directions
Authorized official contact:
Name: Sargent, Kimball Jane-Marie MSN, PMHCNS-BC
Phone: (919) 838-0804

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X 0261495-01 North Carolina
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X 0261495-01 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X 0261495-01 North Carolina

Profile Details

NPI number 1912299173
LBN Legal business name Diverse Wellness Solutions Inc
DBA Doing business as
Authorized official Sargent, Kimball Jane-Marie MSN, PMHCNS-BC
Entity Organization
Organization subpart 1 No
Enumeration date May 6th, 2011
Last updated Jan 6th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912299173 NPPES
North Carolina MEDICAID NCMC030788
North Carolina MEDICAID 6004025
North Carolina Other 527619
North Carolina Other NC1277A203
North Carolina Other 10079

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