MEDICARE: MINDS EYE CONSULTING LLC

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1700737079
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINDS EYE CONSULTING LLC

Provider Business Mailing Address
First Line	:	2109 GRAYWALSH DR
Second Line	:
City	:	WILMINGTON
State	:	NC
Zip	:	28405-6202
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	44 FREEMAN DR
Second Line	:
City	:	PLYMOUTH
State	:	MA
Zip	:	02360-6887
Country	:	US
Telephone Number	:	346-600-9364
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BILAL PARVEZ
Credential	:
Telephone Number	:	346-600-9364

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	05/20/2026

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Directions to “MINDS EYE CONSULTING LLC ” Practice Location

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