Healthcare Provider Details

I. General information

NPI: 1356257604
Provider Name (Legal Business Name): SARAH M WAINWRIGHT LCMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2460 DELANEY AVE
WILMINGTON NC
28403-6062
US

IV. Provider business mailing address

2460 DELANEY AVE
WILMINGTON NC
28403-6062
US

V. Phone/Fax

Practice location:
  • Phone: 910-338-9093
  • Fax: 910-399-2728
Mailing address:
  • Phone: 910-338-9093
  • Fax: 910-399-2728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberA23371
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: