LIFE MIND ALLIANCE NPI 1689332876

NPI Information

NPI: 1689332876
Provider Name: LIFE MIND ALLIANCE
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
407 E FREMONT ST
BURGAW, NC
ZIP 28425
Phone: (336) 202-3486
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LIFE MIND ALLIANCE is a psychiatric/mental health nurse practitioner in Burgaw, NC. LIFE MIND ALLIANCE NPI is 1689332876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

407 E FREMONT ST
BURGAW, NC
ZIP 28425-129
Phone: (336) 202-3486

The provider's authorized official is Larisa Rollins King .
The authorized official title is Nurse Practitioner and has the following contact phone number (336) 202-3486.

The enumeration date for this NPI number is 12/4/2021 and was last updated on 12/4/2021.

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	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: 5/5/2024

NPI Synchronization or Removal

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