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Organization
SUCCESSFUL MINDS LLC
Active
Organization
SUCCESSFUL MINDS LLC
Active
Other names
Successful Minds LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY F MERRITT (OWNER)
(704) 769-4075
Entity
Organization
Contact information
Practice address
2134 CAPERNIUM RD TRLR 2, TR#2, CHERRYVILLE, NC 28021-9404
(704) 769-4075
Mailing address
2134 CAPERNIUM RD TRLR 2, TR#2, CHERRYVILLE, NC 28021-9404
(704) 769-4075
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700225307
—
NC
Enumeration date
04/10/2015
Last updated
04/10/2015
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