MEDICARE: STARLING THERAPY AND WELLNESS, PLLC

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
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1083339337
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STARLING THERAPY AND WELLNESS, PLLC

Provider Business Mailing Address
First Line	:	1743 ROSEBAY CT SW
Second Line	:
City	:	OCEAN ISLE BEACH
State	:	NC
Zip	:	28469-5772
Country	:	US
Telephone Number	:	910-471-5750
Fax Number	:

Provider Business Practice Location Address
First Line	:	9970 BEACH DR
Second Line	:
City	:	CALABASH
State	:	NC
Zip	:	28467-2741
Country	:	US
Telephone Number	:	910-471-5750
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MARY MORGAN STARLING
Credential	:	LCMHCA
Telephone Number	:	910-471-5750

Provider Enumeration Date	:	10/10/2022
Last Update Date	:	10/10/2022

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