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Organization
MINDHEART INSTITUTE AND WELLNESS CENTER, PLLC
Active
Organization
MINDHEART INSTITUTE AND WELLNESS CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLENE WHITAKER-BROWN DNP, MSN, FNP, PMHNP (CEO)
(704) 351-4221
Entity
Organization
Contact information
Practice address
10400 MALLARD CREEK RD STE 208, CHARLOTTE, NC 28262-5207
(704) 351-4221
Mailing address
PO BOX 1302, HARRISBURG, NC 28075-1302
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
10/07/2022
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