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Contact Information

ELON PSYCHOLOGICAL & WELLNESS SERVICES, PLLC
1183 UNIVERSITY DR
SUITE 105 #1016
BURLINGTON, NC27215
 Phone: 336-202-6634
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counseling

103TC1900X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ELON PSYCHOLOGICAL & WELLNESS SERVICES, PLLC

NPI Number 1255831707
LBN Legal business name ELON PSYCHOLOGICAL & WELLNESS SERVICES, PLLC
Authorized official MARIE SHAW - (PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/20/2018
Last updated 02/11/2022 - About 4 years ago
Identifiers
NC License # 4989
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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