# MINDFUL INNOVATIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043975048
- **Authorized official:** CRYSTAL JENITA MONTAGUE (CEO)
- **Authorized official phone:** (336) 847-1626

## Contact information

- **Practice address:** 4154 MENDENHALL OAKS PKWY STE 103, HIGH POINT, NC 27265-8034
- **Practice address phone:** (336) 847-1626
- **Mailing address:** 1155 DOUBLE POND LN, HIGH POINT, NC 27265-9242
- **Mailing address phone:** (336) 847-1626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/03/2021
- **Last updated:** 12/01/2025