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General NPI Number Information
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NPI Number | 1013849157
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Entity Type | Organization
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Legal Business Name | MINDS MATTER OF NORTH CAROLINA LLC
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Dates
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Enumeration Date | 06/02/2026
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Last Update Date | 06/02/2026
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Provider Practice Location Address
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Address Line | 8601 SIX FORKS RD S FORUM DRIVE SUITE 400
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City | RALEIGH
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State | NC
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Zip | 27615
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Country | US
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Telephone | 913-789-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 6701 W 64TH ST STE 125
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City | OVERLAND PARK
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State | KS
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Zip | 66202-4007
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Country | US
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Telephone | 913-216-4120
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | EMILY K HAUG
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Credential |
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Telephone | 913-216-4120
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number |
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License Number State |
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