# MIND HAVEN PSYCHIATRY PLLC

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

## Provider details

- **NPI number:** 1417742883
- **Authorized official:** JASMINE MCENTYRE DNP,FNP-BC,PMHNP-BC (NP/PMHNP)
- **Authorized official phone:** (828) 318-4551

## Contact information

- **Practice address:** 1981 STALLINGS RD, STALLINGS, NC 28104-1104
- **Practice address phone:** (704) 709-5515
- **Practice address fax:** (704) 709-5537
- **Mailing address:** 4728 AUDREY DR, WINSTON SALEM, NC 27127-6698
- **Mailing address phone:** (828) 318-4551

## Taxonomy

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

## Other

- **Enumeration date:** 04/14/2025
- **Last updated:** 04/16/2026