MIGHTY MINDFUL WELLNESS NPI 1336085554

NPI Information

  • NPI: 1336085554
  • Provider Name: MIGHTY MINDFUL WELLNESS
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 7821 CHEAHA DR
    RALEIGH, NC
    ZIP 27616
  • Phone: (432) 309-4336

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NPI Details

MIGHTY MINDFUL WELLNESS is a clinical social worker in Raleigh, NC. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MIGHTY MINDFUL WELLNESS NPI is 1336085554. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7821 CHEAHA DR
RALEIGH, NC
ZIP 27616-215
Phone: (432) 309-4336
Fax: (844) 691-3116

The provider's authorized official is Shariyfa Polite .
The authorized official title is Ceo and has the following contact phone number (432) 309-4336.

The enumeration date for this NPI number is 4/28/2026 and was last updated on 4/28/2026.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)No
21041C0700XSocial WorkerClinicalYes

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: 11/21/2025

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