MEDICARE: MIND CHANGING SOLUTIONS, 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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	3283	NC
2	101YM0800X	Mental Health Counselor	11088	NC
3	103K00000X	Behavior Analyst
4	1041C0700X	Clinical Social Worker
5	235Z00000X	Speech-Language Pathologist
6	251B00000X	Case Management Agency
7	251S00000X	Community/Behavioral Health Agency
8	101YM0800X	Mental Health Counselor	6407	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1407358203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIND CHANGING SOLUTIONS, PLLC

Provider Business Mailing Address
First Line	:	PO BOX 26976
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28221-6976
Country	:	US
Telephone Number	:	704-651-8514
Fax Number	:	704-595-7155

Provider Business Practice Location Address
First Line	:	8929 J M KEYNES DR STE 305
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-8406
Country	:	US
Telephone Number	:	980-875-9473
Fax Number	:

Authorized Official
Title or Position	:	OWNER / THERAPIST
Name	:	CHERYL ELAINE MCFADDEN
Credential	:	LCMHCS,LCAS,LPC,LAC
Telephone Number	:	704-651-8514

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	08/08/2025

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Directions to “MIND CHANGING SOLUTIONS, PLLC ” Practice Location

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