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NPI Code Detail

MEDICARE: BUILT FOR MENTAL WELLNESS, PC

MEDICARE: BUILT FOR MENTAL WELLNESS, PC
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1780281766
Entity Type Code : Organization
Provider Name (Legal Business Name) : BUILT FOR MENTAL WELLNESS, PC
Provider Business Mailing Address
First Line : PO BOX 30594
Second Line :
City : GREENVILLE
State : NC
Zip : 27833-0594
Country : US
Telephone Number : 252-751-0243
Fax Number : 252-351-0316
Provider Business Practice Location Address
First Line : 4801 GLENWOOD AVE STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27612-3857
Country : US
Telephone Number : 252-751-0243
Fax Number : 252-351-0316
Authorized Official
Title or Position : THERAPIST
Name : ZANDY EVANS
Credential : LMFT
Telephone Number : 252-751-0243
Provider Enumeration Date : 10/03/2020
Last Update Date : 11/23/2022

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Directions to “BUILT FOR MENTAL WELLNESS, PC ” Practice Location

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