Healthcare Provider Details

I. General information

NPI: 1770495921
Provider Name (Legal Business Name): QUIET MIND PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 US HWY 64 BUS W
PITTSBORO NC
27312
US

IV. Provider business mailing address

2015 US HWY 64 BUS W
PITTSBORO NC
27312
US

V. Phone/Fax

Practice location:
  • Phone: 910-471-4552
  • Fax:
Mailing address:
  • Phone: 910-471-4552
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: MRS. ELIZABETH FAYE FLACK
Title or Position: OWNER
Credential: LPA, LCAS
Phone: 910-471-4552