IVY ADVANCED PRACTICE HEALTH PLLC NPI 1689436859

NPI Information

  • NPI: 1689436859
  • Provider Name: IVY ADVANCED PRACTICE HEALTH, PLLC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Doing Business As: MIND FIT BEHAVIORAL HEALTH
  • Address: 378 WILLIAMSON RD STE 204
    MOORESVILLE, NC
    ZIP 28117
  • Phone: (704) 978-8334

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NPI Details

IVY ADVANCED PRACTICE HEALTH, PLLC is a psychiatric/mental health nurse practitioner in Mooresville, NC. IVY ADVANCED PRACTICE HEALTH, PLLC NPI is 1689436859. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mind Fit Behavioral Health.

The provider's business location address is:

378 WILLIAMSON RD STE 204
MOORESVILLE, NC
ZIP 28117-917
Phone: (704) 978-8334
Fax: (980) 399-2600

The provider's authorized official is Ivy De Leon .
The authorized official title is Nurse Practitioner and has the following contact phone number (704) 978-8334.

The enumeration date for this NPI number is 1/24/2024 and was last updated on 11/11/2024.

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
1363LP0808XNurse PractitionerPsychiatric/Mental 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: 3/30/2025

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