MEDICARE: MINDBRIDGE BEHAVIORAL HEALTH PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

General Provider Information

NPI Number	:	1730031998
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDBRIDGE BEHAVIORAL HEALTH PLLC

Provider Business Mailing Address
First Line	:	1311 WESTBROOK PLAZA DR STE 104
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27103-1327
Country	:	US
Telephone Number	:	336-510-0156
Fax Number	:	336-967-4127

Provider Business Practice Location Address
First Line	:	408 ROSLYN RD
Second Line	:
City	:	WINSTON SALEM
State	:	NC
Zip	:	27104-2036
Country	:	US
Telephone Number	:	336-407-8135
Fax Number	:

Authorized Official
Title or Position	:	CLINIC ADMINISTRATOR
Name	:	LAUREN NICOLE STOKES
Credential	:
Telephone Number	:	336-416-8523

Provider Enumeration Date	:	02/11/2026
Last Update Date	:	06/10/2026

Similar Medicare Providers

1649828278 — SHANNON MCSHEA JEWELL RDN
Practice Location Address:

4610 COUNTRY CLUB RD
WINSTON SALEM, NC
27104-3520

Practice Phone: 336-716-8237
Practice Fax:

1972435766 — VICTORIA MICHALOVE
Practice Location Address:

227 BARRINGTON PL
WINSTON SALEM, NC
27104-5301

Practice Phone: 336-467-1295
Practice Fax:

1962334698 — JONESTOWN PHARMACY, INC
Practice Location Address:

300 JONESTOWN RD , STE #5
WINSTON SALEM, NC
27104-4621

Practice Phone: 336-774-1445
Practice Fax:

1023000213 — MRS. MELISSA CORRAL DOMENECH PA-C
Practice Location Address:

741 N AVALON RD STE B
WINSTON SALEM, NC
27104-1069

Practice Phone: 336-660-6015
Practice Fax:

1861487860 — DR. ANITHA LOKESH M.D.
Practice Location Address:

50 MILLER ST STE G
WINSTON SALEM, NC
27104-4206

Practice Phone: 336-718-1000
Practice Fax: 336-718-1065

1568458057 — DR. KEVIN MARK SHARP D.C.
Practice Location Address:

173 JONESTOWN RD
WINSTON-SALEM, NC
27104-4616

Practice Phone: 336-768-7227
Practice Fax: 336-768-3802

Directions to “MINDBRIDGE BEHAVIORAL HEALTH PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.