Healthcare Provider Details
I. General information
NPI: 1235034513
Provider Name (Legal Business Name): SLOW CURRENT PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1721 ALLENS LN STE 219
WILMINGTON NC
28403-3661
US
IV. Provider business mailing address
1721 ALLENS LN STE 219
WILMINGTON NC
28403-3661
US
V. Phone/Fax
- Phone: 910-216-4950
- Fax:
- Phone: 910-216-4950
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
TAYLOR
MANFREDI
Title or Position: OWNER
Credential: LCSW
Phone: 910-216-4950