Healthcare Provider Details

I. General information

NPI: 1730091976
Provider Name (Legal Business Name): SOMATIC WELLNESS COLLECTIVE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CARMEN AVE 2112
JACKSONVILLE NC
28540
US

IV. Provider business mailing address

200 CARMEN AVE 2112
JACKSONVILLE NC
28540
US

V. Phone/Fax

Practice location:
  • Phone: 910-545-9493
  • Fax:
Mailing address:
  • Phone: 910-545-9493
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ERIN LYNNE KALK
Title or Position: OWNER/MANAGING MEMBER
Credential: LMFT
Phone: 910-467-1014