Provider Demographics
NPI:1487541660
Name:WENDY IVEY, MED., LCMHC, RPT, COUNSELING SERVICES, PLLC
Entity type:Organization
Organization Name:WENDY IVEY, MED., LCMHC, RPT, COUNSELING SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:H
Authorized Official - Last Name:IVEY
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, NCC, RPT
Authorized Official - Phone:910-875-5518
Mailing Address - Street 1:5653 CAROLINA BEACH RD UNIT A1
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28412-2649
Mailing Address - Country:US
Mailing Address - Phone:910-875-5518
Mailing Address - Fax:
Practice Address - Street 1:5653 CAROLINA BEACH RD UNIT A1
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28412-2649
Practice Address - Country:US
Practice Address - Phone:910-875-5518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty