Healthcare Provider Details

I. General information

NPI: 1316859655
Provider Name (Legal Business Name): MINDFUL HAN PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

739 FIREBRICK DR
CARY NC
27519-9642
US

IV. Provider business mailing address

739 FIREBRICK DR
CARY NC
27519-9642
US

V. Phone/Fax

Practice location:
  • Phone: 919-325-5294
  • Fax:
Mailing address:
  • Phone: 919-325-5294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: WONHO LEE
Title or Position: OWNER
Credential: PMHNP
Phone: 910-228-6759