# MYNDSPACE MENTAL HEALTH EDUCATION & CONSULTING, LLC

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

## Provider details

- **NPI number:** 1215541669
- **Authorized official:** DR. CERRISSA MICHELLE HUGIE DNP, PMHNP-BC (OWNER/PROVIDER)
- **Authorized official phone:** (803) 351-8252

## Contact information

- **Practice address:** 4 CARRIAGE LN STE 200, CHARLESTON, SC 29407-6049
- **Practice address phone:** (803) 351-8252
- **Mailing address:** 4 CARRIAGE LN STE 200, CHARLESTON, SC 29407-6049
- **Mailing address phone:** (803) 351-8252

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 09/03/2020
- **Last updated:** 10/28/2024