THE INTENTIONAL MIND COUNSELING SERVICES P.L.L.C NPI 1417743964

NPI Information

  • NPI: 1417743964
  • Provider Name: THE INTENTIONAL MIND COUNSELING SERVICES, P.L.L.C
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Address: 115 UNIONVILLE INDIAN TRAIL RD W # A-5
    INDIAN TRAIL, NC
    ZIP 28079
  • Phone: (910) 750-2682

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NPI Details

THE INTENTIONAL MIND COUNSELING SERVICES, P.L.L.C is a mental health counselor in Indian Trail, NC. THE INTENTIONAL MIND COUNSELING SERVICES, P.L.L.C NPI is 1417743964. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

115 UNIONVILLE INDIAN TRAIL RD W # A-5
INDIAN TRAIL, NC
ZIP 28079-583
Phone: (910) 750-2682

The provider's authorized official is David Jerome Lewis .
The authorized official title is Owner and has the following contact phone number (910) 750-2682.

The enumeration date for this NPI number is 4/18/2025 and was last updated on 9/5/2025.

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
1101YM0800XCounselorMental HealthYes

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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