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Organization
MENTPHYS WELLNESS PLLC
Active
Organization
MENTPHYS WELLNESS PLLC
Active
Other names
MentPhys Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LYNN BEARDSLEY-GLOVER LCMHC (OWNER AND LICENSED THERAPIST)
(919) 397-0081
Entity
Organization
Contact information
Practice address
316 W MILLBROOK RD STE 209, RALEIGH, NC 27609-4482
(919) 397-0081
(919) 516-0072
Mailing address
316 W MILLBROOK RD STE 209, RALEIGH, NC 27609-4482
(919) 397-0081
(919) 516-0072
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265945471
BLUE CROSS AND BLUE SHIELD OF NC
NC
Enumeration date
06/08/2021
Last updated
06/08/2021
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