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General NPI Number Information
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NPI Number | 1346164688
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Entity Type | Organization
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Legal Business Name | MINDFUL COUNSELING AND WELLNESS PLLC
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 189 WIND CHIME CT STE 202
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City | RALEIGH
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State | NC
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Zip | 27615-6480
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Country | US
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Telephone | 919-739-3808
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Fax | 919-626-9342
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Provider Business Mailing Address
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Address Line | 875 LONGLEAF PINE PL
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City | MEBANE
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State | NC
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Zip | 27302-7833
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Country | US
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Telephone | 919-739-3808
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Fax | 919-626-9342
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Authorized Official
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Title or Position | CEO, FOUNDER
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Name | JOSEPHINE HAZELEY
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Credential | PMHNP-BC
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Telephone | 919-739-3808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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