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MIND HEALING THERAPEUTIC SERVICES PLLC NPI 1174184311


NPI Information

NPI: 1174184311
Provider Name: MIND HEALING THERAPEUTIC SERVICES PLLC

Doing Business As: MIND HEALING THERAPEUTIC SERVICES PLLC

Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1451 S ELM EUGENE ST # 3112
GREENSBORO, NC
ZIP 27406
Phone: (336) 844-5322
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MIND HEALING THERAPEUTIC SERVICES PLLC is a mental health counselor in Greensboro, NC. MIND HEALING THERAPEUTIC SERVICES PLLC NPI is 1174184311. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mind Healing Therapeutic Services Pllc.

The provider's business location address is:

1451 S ELM EUGENE ST # 3112
GREENSBORO, NC
ZIP 27406-200
Phone: (336) 844-5322

The provider's authorized official is Erica C Maness .
The authorized official title is Owner and has the following contact phone number (336) 844-5322.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 7/26/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11326414731MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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