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NPI Code Detail

MEDICARE: OPEN MIND HEALTH NC PLLC

MEDICARE: OPEN MIND HEALTH NC PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1003750506
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPEN MIND HEALTH NC PLLC
Provider Business Mailing Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4030 WAKE FOREST RD STE 349
Second Line :
City : RALEIGH
State : NC
Zip : 27609-0010
Country : US
Telephone Number : 864-905-7900
Fax Number :
Authorized Official
Title or Position : OWNER
Name : RAVIKUMAR PATEL
Credential :
Telephone Number : 864-905-7900
Provider Enumeration Date : 04/15/2026
Last Update Date : 04/15/2026

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Directions to “OPEN MIND HEALTH NC PLLC ” Practice Location

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