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General NPI Number Information
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NPI Number | 1538092093
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Entity Type | Organization
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Legal Business Name | MINDFUL JOURNEY BEHAVIORAL HEALTH PLLC
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/08/2026
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Provider Practice Location Address
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Address Line | 5814 BLACKSMITH DR
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City | RALEIGH
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State | NC
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Zip | 27606-7701
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Country | US
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Telephone | 910-644-0081
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Fax |
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Provider Business Mailing Address
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Address Line | 3350 FOOTBRIDGE LN STE 124
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-9695
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Country | US
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Telephone | 910-644-0081
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Fax |
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | MRS. ANAIS MENDIETA
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Credential | LCSW, LCAS
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Telephone | 910-920-5630
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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 | 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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