MENDING MINDS BEHAVIORAL HEALTH PLLC NPI 1992255434

NPI Information

NPI: 1992255434
Provider Name: MENDING MINDS BEHAVIORAL HEALTH, PLLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
4001 CUMBERLAND RD
FAYETTEVILLE, NC
ZIP 28306
Phone: (910) 973-3407
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MENDING MINDS BEHAVIORAL HEALTH, PLLC is a psychiatric/mental health nurse practitioner in Fayetteville, NC. MENDING MINDS BEHAVIORAL HEALTH, PLLC NPI is 1992255434. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4001 CUMBERLAND RD
FAYETTEVILLE, NC
ZIP 28306-703
Phone: (910) 973-3407
Fax: (910) 491-0077

The provider's authorized official is Casey J Smith .
The authorized official title is Owner and has the following contact phone number (910) 973-3407.

The enumeration date for this NPI number is 10/8/2016 and was last updated on 10/8/2016.

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	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5006507	NORTH CAROLINA	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	NCF818A	MEDICARE PIN	NORTH 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: 11/14/2023

NPI Synchronization or Removal

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