PEMBROKE CENTER FOR WELLNESS, INC
NPI 1467726448
Nurse Practitioner - Psychiatric/Mental Health in Pembroke, NC

Active since March 08, 2012
773 OLD MAIN RD, PEMBROKE, NC 28372(910) 775-9201(910) 521-8540 Get Directions Write a Review

NPPES record last updated: January 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pembroke Center For Wellness, Inc NPPES

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

PEMBROKE CENTER FOR WELLNESS, INC (NPI 1467726448) is a healthcare organization registered as a psychiatric/mental health in Pembroke, North Carolina and active in the NPI registry since March 2012. The organization lists Ella Olehonna Lynch, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1467726448
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePEMBROKE CENTER FOR WELLNESS, INC
Location Address773 OLD MAIN RDPembroke, NC 28372-8753
Mailing Address773 Old Main RdPembroke, NC 28372-8753 · (910) 775-9201 · Fax (910) 521-8540
Fax(910) 521-8540
Organization SubpartNo
Authorized OfficialElla Olehonna LynchPresident, Ceo · (910) 775-9201
Enumeration DateMarch 8, 2012
Last NPPES UpdateJanuary 18, 2013
NPI 1467726448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in NC · 5000705
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License C006439 (NC)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License LMFT-1304 (NC)
773 OLD MAIN RD, Pembroke, NC 28372

Other Identifiers 1

Medicaid5917311NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
773 OLD MAIN RD
PEMBROKE, NC 28372
Counselor (Mental Health)
773 OLD MAIN RD
PEMBROKE, NC 28372
Nurse Practitioner (Psychiatric/Mental Health)
773 OLD MAIN RD
PEMBROKE, NC 28372
Social Worker (Clinical)
773 OLD MAIN RD
PEMBROKE, NC 28372

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 Pembroke Center For Wellness, Inc's NPI number?

The NPI number for Pembroke Center For Wellness, Inc is 1467726448. It was assigned to this organization in the NPPES registry on March 8, 2012.

Where is Pembroke Center For Wellness, Inc located?

Pembroke Center For Wellness, Inc is located at 773 Old Main Rd, Pembroke, NC 28372. The listed phone number is (910) 775-9201.

What is Pembroke Center For Wellness, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Pembroke Center For Wellness, Inc was last updated on January 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.