Solid Mind Therapy, PLLC
Counselor, Mental Health in Raleigh, NC. Organization (NPI-2).
NPI number1831978162
StatusActive
Last updated in NPPESSep 26, 2023
Details
- NPI
- 1831978162
- Entity type
- Organization (NPI-2)
- Legal business name
- Solid Mind Therapy, PLLC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2023
- Certification date
- Sep 22, 2023
- Last updated
- Sep 26, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
10211 Brokers Tip Ln Apt 305Raleigh, NC 27617-6219
Phone 404-234-9635
Mailing address
10211 Brokers Tip Ln Apt 305Raleigh, NC 27617-6219
Phone 404-234-9635
Authorized official
Priscilla L Jacko
Owner/Counselor
4042349635
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