# BEAUTIFUL MINDZ BEHAVIORAL HEALTH AND WELLNESS PLLC

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

## Provider details

- **NPI number:** 1265151674
- **Authorized official:** DOROTHY JAMES NIVENS DNP, FNP-C, PMHNP-BC (PMHNP-BC)
- **Authorized official phone:** (704) 322-9156

## Contact information

- **Practice address:** 4363 TUCKER CHASE DR, MIDLAND, NC 28107-7812
- **Practice address phone:** (704) 322-9156
- **Mailing address:** 4363 TUCKER CHASE DR, MIDLAND, NC 28107-7812
- **Mailing address phone:** (704) 322-9156

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 11/15/2023