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Contact Information

ATLANTIC WELLNESS GROUP, LLC
139 E BUCKINGHAM DR
REHOBOTH BEACH, DE19971-1467
 Phone: 302-270-6992
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ATLANTIC WELLNESS GROUP, LLC

NPI # 1255059937
LBN Legal business name ATLANTIC WELLNESS GROUP, LLC
Authorized official MARY VAUGHN MOOR - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2022
Last updated 08/18/2022 - About 4 years ago
Identifiers n/a
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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