Harris, Wendy G.

Harris, Wendy G. is an sole proprietor health care provider with primary practice located at 4608 Cedar Ave Suite 114, Wilmington NC 28403-4419. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Harris, Wendy G. can be contacted via phone (910) 799-1933.

Contact Information

Primary practice address
4608 Cedar Ave Suite 114 Wilmington NC 28403-4419
Phone: (910) 799-1933
Fax: (910) 799-1966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X NCBLPC # 4127 North Carolina
Behavioral Health & Social Service Providers / School 101YS0200X NCDPI LIC. #G K-12 North Carolina

Profile Details

NPI number 1740474774
LBN Legal business name Harris, Wendy G.
Credentials MED., LPC, NCC, NBCT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2007
Last updated Mar 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740474774 NPPES
North Carolina MEDICAID 6103686

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