Provider Demographics
NPI:1962199984
Name:NEMR, PETER WAHIDA (LCMHC-A)
Entity type:Individual
Prefix:
First Name:PETER
Middle Name:WAHIDA
Last Name:NEMR
Suffix:
Gender:M
Credentials:LCMHC-A
Other - Prefix:
Other - First Name:PETER
Other - Middle Name:WADHIR
Other - Last Name:NEMR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 LOOP ST
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:28328-4062
Mailing Address - Country:US
Mailing Address - Phone:910-596-2221
Mailing Address - Fax:910-596-2229
Practice Address - Street 1:100 LOOP ST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:NC
Practice Address - Zip Code:28328-4062
Practice Address - Country:US
Practice Address - Phone:910-596-2221
Practice Address - Fax:910-596-2229
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-19
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA18689101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health