# A KEEN MIND PLLC

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

## Provider details

- **NPI number:** 1164202628
- **Authorized official:** MR. JUDE JOHNSON MA, LMFT (OWNER)
- **Authorized official phone:** (843) 364-5921

## Contact information

- **Practice address:** 1122 SAM NEWELL RD STE 110, MATTHEWS, NC 28105-5016
- **Practice address phone:** (843) 364-5921
- **Mailing address:** 3717 BENSEVAL LN, MATTHEWS, NC 28104-0031
- **Mailing address phone:** (843) 364-5921

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2023
- **Last updated:** 07/06/2025