Healthcare Provider Details

I. General information

NPI: 1487558755
Provider Name (Legal Business Name): BECOME MENTAL HEALTH AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 CYPRESS VILLAGE PL
WILMINGTON NC
28412-1404
US

IV. Provider business mailing address

720 CYPRESS VILLAGE PL
WILMINGTON NC
28412-1404
US

V. Phone/Fax

Practice location:
  • Phone: 978-995-8473
  • Fax:
Mailing address:
  • Phone: 978-995-8473
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number StateNULL

VIII. Authorized Official

Name: DANIELLE MARKEE
Title or Position: OWNER
Credential: PMHNP
Phone: 978-995-8473