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WILMINGTON HEALTH ACCESS FOR TEENS
NPI 1063547990
Counselor - Mental Health in Wilmington, NC

Active since February 22, 2007
1805 S 13TH ST, WILMINGTON, NC 28401(910) 772-5552(910) 772-5554 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wilmington Health Access For Teens NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILMINGTON HEALTH ACCESS FOR TEENS (NPI 1063547990) is a healthcare organization registered as a mental health in Wilmington, North Carolina and active in the NPI registry since February 2007. The organization lists Maria Van De Bovenkamp, Medical Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1063547990
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameWILMINGTON HEALTH ACCESS FOR TEENS
Location Address1805 S 13TH STWilmington, NC 28401-6469
Mailing Address4005 Oleander DrWilmington, NC 28403-6816 · (910) 790-9949 · Fax (910) 790-9455
Phone(910) 772-5552
Fax(910) 772-5554
Organization SubpartNo
Authorized OfficialMaria Van De BovenkampMedical Office Administrator · (910) 790-9949
Enumeration DateFebruary 22, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1063547990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1805 S 13TH ST, Wilmington, NC 28401
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Other Identifiers 1

Medicaid6005591NC

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEW HANOVER COMMUNITY HEALTH CENTER INCORPORATED
Clinic/Center (Federally Qualified Health Center (FQHC))
1805 S 13TH ST
WILMINGTON, NC 28401
New Hanover County (910) 772-5552

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wilmington Health Access For Teens's NPI number?

The NPI number for Wilmington Health Access For Teens is 1063547990. It was assigned to this organization in the NPPES registry on February 22, 2007.

Where is Wilmington Health Access For Teens located?

Wilmington Health Access For Teens is located at 1805 S 13th St, Wilmington, NC 28401. The listed phone number is (910) 772-5552.

What is Wilmington Health Access For Teens's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Wilmington Health Access For Teens was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.