STACIA LEIGH ELLSWORTH LCMHC
NPI 1679317606
Counselor - Mental Health in Wilmington, NC

Active since June 24, 2024
4302 WRIGHTSVILLE AVE, WILMINGTON, NC 28403(910) 788-2375 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stacia Leigh Ellsworth Lcmhc NPPES

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

STACIA LEIGH ELLSWORTH LCMHC (NPI 1679317606) is an individual mental health provider in Wilmington, North Carolina, licensed in North Carolina (A20197) and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1679317606
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACIA LEIGH ELLSWORTHCredential: LCMHC
Location Address4302 WRIGHTSVILLE AVEWilmington, NC 28403-6336
Mailing Address7025 Cameron Trace DrWilmington, NC 28411-1201 · (571) 234-2583
Sole ProprietorNo
Enumeration DateJune 24, 2024
NPPES CertifiedJune 24, 2024
NPI 1679317606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NC · A20197
4302 WRIGHTSVILLE AVE, Wilmington, NC 28403

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
4302 WRIGHTSVILLE AVE, SUITE 1
WILMINGTON, NC 28403
Social Worker (Clinical)
4302 WRIGHTSVILLE AVE
WILMINGTON, NC 28403
Counselor (Mental Health)
4302 WRIGHTSVILLE AVE
WILMINGTON, NC 28403
Social Worker (Clinical)
4302 WRIGHTSVILLE AVE
WILMINGTON, NC 28403
Counselor (Mental Health)
4302 WRIGHTSVILLE AVE
WILMINGTON, NC 28403

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679317606, enumerated as an "individual" on June 24, 2024.

The provider is located at 4302 WRIGHTSVILLE AVE WILMINGTON, NC 28403 and the phone number is (910) 788-2375.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.