MENTPHYS WELLNESS PLLC NPI 1508433582

NPI Information

NPI: 1508433582
Provider Name: MENTPHYS WELLNESS PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
316 W MILLBROOK RD STE 209
RALEIGH, NC
ZIP 27609
Phone: (919) 397-0081
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MENTPHYS WELLNESS PLLC is a mental health counselor in Raleigh, NC. MENTPHYS WELLNESS PLLC NPI is 1508433582. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

316 W MILLBROOK RD STE 209
RALEIGH, NC
ZIP 27609-482
Phone: (919) 397-0081
Fax: (919) 516-0072

The provider's authorized official is Andrea Lynn Beardsley-glover .
The authorized official title is Owner And Licensed Therapist and has the following contact phone number (919) 397-0081.

The enumeration date for this NPI number is 6/8/2021 and was last updated on 6/8/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1265945471	OTHER	NORTH CAROLINA	MEDCOST
2	1265945471	OTHER	NORTH CAROLINA	BLUE CROSS AND BLUE SHIELD OF NC

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

NPI Synchronization or Removal

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