Healthcare Provider Details

I. General information

NPI: 1598588667
Provider Name (Legal Business Name): CENTER FOR HEALTH AND WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2024
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 ARENDELL ST STE 15
MOREHEAD CITY NC
28557-4286
US

IV. Provider business mailing address

PO BOX 597
HARKERS ISLAND NC
28531-0597
US

V. Phone/Fax

Practice location:
  • Phone: 540-752-4646
  • Fax:
Mailing address:
  • Phone: 252-515-0955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PROF. JODI ANN KOHUT
Title or Position: FOUNDER
Credential: NCC, LCMHC
Phone: 252-515-0955