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EMBODIED THERAPY PLLC
NPI 1396458055
Clinic/Center - Adult Mental Health in Wilmington, NC

Active since December 27, 2022
4020 OLEANDER DR STE 203, WILMINGTON, NC 28403(910) 262-9044 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adult Mental Health

About EMBODIED THERAPY PLLC

This page provides the complete NPI Profile along with additional information for Embodied Therapy Pllc, a provider established in Wilmington, North Carolina operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1396458055 assigned on December 2022. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Paula Jean Ackermann Lcsw (Owner)

NPI
1396458055 Verify this NPI
Provider Name
EMBODIED THERAPY PLLC
Entity Type
Organization
Location Address
4020 OLEANDER DR STE 203 WILMINGTON, NC 28403
Location Phone
(910) 262-9044
Mailing Address
810 MIDLAND DR WILMINGTON, NC 28412
Mailing Phone
(910) 262-9044
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-27-2022
Last Update Date
12-27-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

PAULA JEAN ACKERMANN LCSW

Authorized Official Title
OWNER
Authorized Official Phone
(910) 262-9044

Reviews for EMBODIED THERAPY PLLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MRS. LICIA WILLIAMS ROGERS LPA
Psychologist (Clinical)
4020 OLEANDER DR STE 203
WILMINGTON, NC 28403
New Hanover County (910) 540-8081

Frequently Asked Questions

What is EMBODIED THERAPY PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1396458055, enumerated as an "organization" on December 27, 2022.

Where is the provider located?

The provider is located at 4020 OLEANDER DR STE 203 WILMINGTON, NC 28403 and the phone number is (910) 262-9044.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.