Healthcare Provider Details

I. General information

NPI: 1639087091
Provider Name (Legal Business Name): MARGUERITE'S WELLNESS GROUP PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1213 CULBRETH DR STE 348
WILMINGTON NC
28405-3639
US

IV. Provider business mailing address

1213 CULBRETH DR STE 348
WILMINGTON NC
28405-3639
US

V. Phone/Fax

Practice location:
  • Phone: 910-274-4419
  • Fax: 910-256-0630
Mailing address:
  • Phone: 910-274-4419
  • Fax: 910-256-0630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MARGUERITE REESE
Title or Position: OWNER
Credential: LCMHC
Phone: 910-274-4419