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Contact Information

MINDFULLNESS COUNSELING AND WELLNESS
4822 ALBEMARLE RD
SUITE 200
CHARLOTTE, NC28205-6668
 Phone: 704-309-7208
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Dietary Manager

132700000X
 

Dietetic Technician, Registered

136A00000X
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
 

Mental Health

101YM0800X
 

Nutritionist

133N00000X
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MINDFULLNESS COUNSELING AND WELLNESS

NPI # 1386099000
LBN Legal business name MINDFULLNESS COUNSELING AND WELLNESS
Authorized official NAKESHIA WILLIAMS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/02/2016
Last updated 01/22/2017 - About 9 years ago
Identifiers
NC License # 129145
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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