Integrated Psychogenic Wellness Associates

LBN: Integrated Psychogenic Wellness Associates
Integrated Psychogenic Wellness Associates is an health care organization with primary practice located at 1205 W Bessemer Ave # 1213 , Greensboro NC 27408-8442. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as the primary health care specialty. Integrated Psychogenic Wellness Associates can be contacted via phone (336) 736-1452, or through Burkett, Evanna via phone (336) 736-1452.

Contact Information

Primary practice address
1205 W Bessemer Ave # 1213 Greensboro NC 27408-8442
Phone: (336) 736-1452
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Burkett, Evanna RN, FNP-C, DNP
Phone: (336) 736-1452

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 210912 North Carolina

Profile Details

NPI number 1184114118
LBN Legal business name Integrated Psychogenic Wellness Associates
DBA Doing business as
Authorized official Burkett, Evanna RN, FNP-C, DNP
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2018
Last updated May 15th, 2018 - about 7 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 1184114118 NPPES
North Carolina MEDICAID 1255504742

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