# MW LIFESTYLES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MW LIFESTYLES, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588493605
- **Authorized official:** MR. KAREEM BOLES (OWNER)
- **Authorized official phone:** (919) 999-7156

## Contact information

- **Practice address:** 1947 FAHEY DR, APEX, NC 27502-7093
- **Practice address phone:** (919) 999-7156
- **Practice address fax:** (984) 849-0169
- **Mailing address:** 1947 FAHEY DR, APEX, NC 27502-7093

## 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:** 07/29/2024
- **Last updated:** 07/29/2024