MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING LLC NPI 1215541669

NPI Information

NPI: 1215541669
Provider Name: MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING, LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
111 BANTRY CIR
CHARLESTON, SC
ZIP 29414
Phone: (803) 351-8252
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MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING, LLC is a psychiatric/mental health nurse practitioner in Charleston, SC. MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING, LLC NPI is 1215541669. The provider is registered as an organization entity type.

The provider's business location address is:

111 BANTRY CIR
CHARLESTON, SC
ZIP 29414-089
Phone: (803) 351-8252

The provider's authorized official is Cerrissa Michelle Hugie .
The authorized official title is Owner/provider and has the following contact phone number (803) 351-8252.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 9/3/2020.

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	251S00000X	Community/Behavioral Health				No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

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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