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General NPI Number Information
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NPI Number | 1508669573
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Entity Type | Organization
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Legal Business Name | MIND YOU WELLNESS LLC
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Dates
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Enumeration Date | 03/27/2025
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Last Update Date | 06/06/2025
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Provider Practice Location Address
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Address Line | 121 N MAIN ST STE 206
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City | MOORESVILLE
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State | NC
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Zip | 28115-3544
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Country | US
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Telephone | 704-412-4219
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Fax | 704-765-6905
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Provider Business Mailing Address
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Address Line | 121 N MAIN ST STE 206
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City | MOORESVILLE
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State | NC
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Zip | 28115-3544
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Country | US
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Telephone | 704-412-4219
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Fax |
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Authorized Official
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Title or Position | OWNER/SOLE NURSE PRACTITIONER
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Name | SAKINA ALSTON
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Credential |
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Telephone | 704-412-4219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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