Mindheart Institute And Wellness Center, PLLC
Nurse Practitioner, Psych/Mental Health in Charlotte, NC. Organization (NPI-2).
NPI number1609598044
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1609598044
- Entity type
- Organization (NPI-2)
- Legal business name
- Mindheart Institute And Wellness Center, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 13, 2022
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – | Yes |
| 363LF0000X | Nurse Practitioner, Family | – | – |
Practice location
10400 Mallard Creek Rd Ste 208Charlotte, NC 28262-5207
Phone 704-351-4221
Mailing address
Po Box 1302Harrisburg, NC 28075-1302
Authorized official
Charlene Whitaker-Brown
Ceo
7043514221
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