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Organization
THE INTENTIONAL MIND COUNSELING SERVICES, P.L.L.C
Active
Organization
THE INTENTIONAL MIND COUNSELING SERVICES, P.L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID JEROME LEWIS II LPC, LCHMC (OWNER)
(910) 750-2682
Entity
Organization
Contact information
Practice address
115 UNIONVILLE INDIAN TRAIL RD W # A-5, INDIAN TRAIL, NC 28079-5583
(910) 750-2682
Mailing address
4114 OCONNELL ST, INDIAN TRAIL, NC 28079-6792
(704) 312-0532
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/18/2025
Last updated
09/05/2025
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