Organization · NPI-2

A Penny For Your Thoughts, PLLC

Nurse Practitioner, Psych/Mental Health · Raleigh, NC

NPI number1285570994

StatusActive

Last updated in NPPESApr 25, 2026

Details

NPI: 1285570994
Entity type: Organization (NPI-2)
Legal business name: A Penny For Your Thoughts, PLLC
Organization subpart: Yes
Enumeration date: Apr 25, 2026
Certification date: Apr 25, 2026
Last updated: Apr 25, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LP0808X	Nurse Practitioner, Psych/Mental Health	–	–	Yes
251J00000X	Nursing Care	–	–
261Q00000X	Clinic/Center	–	–

Other names

Mind & Body Renew Medical Spa And Psychiatry (Doing Business As)

Practice location

3200 Blue Ridge Rd Ste 218
Raleigh, NC 27612-8087

Phone 910-713-8209 · Fax 833-542-8310

Mailing address

3200 Blue Ridge Rd Ste 218
Raleigh, NC 27612-8087

Phone 910-713-8209 · Fax 833-542-8310

Authorized official

Charisse Fullwood
Ceo
9107138209

Is something wrong?

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