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NPI Code Detail

MEDICARE: MATTHEW WHATLEY LCMHC

MEDICARE: MATTHEW WHATLEY LCMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor15446NC
2101YP2500XProfessional Counselor15446NC

General Provider Information

NPI Number : 1023641495
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW WHATLEY LCMHC
Provider Business Mailing Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number :
Provider Business Practice Location Address
First Line : 615 SHIPYARD BLVD
Second Line :
City : WILMINGTON
State : NC
Zip : 28412-6431
Country : US
Telephone Number : 910-343-0145
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2020
Last Update Date : 06/11/2026

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