MEDICARE: MS. ANNA PLYLER WEDDINGTON 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
1	101YP2500X	Professional Counselor	9188	NC
2	101YM0800X	Mental Health Counselor	9188	NC

General Provider Information

NPI Number	:	1528556909
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNA PLYLER WEDDINGTON LCMHC

Provider Business Mailing Address
First Line	:	636 COUNCIL ST APT 205
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-0390
Country	:	US
Telephone Number	:	910-547-8831
Fax Number	:

Provider Business Practice Location Address
First Line	:	636 COUNCIL ST APT 205
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28403-0390
Country	:	US
Telephone Number	:	910-547-8831
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/01/2018
Last Update Date	:	01/26/2022

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