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Organization
SUCCESSFUL MINDS, LLC
Active
Organization
SUCCESSFUL MINDS, LLC
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE WILLIAM BURSTON BS, M.ED (PARTNER OWNER)
(704) 431-8100
Entity
Organization
Contact information
Practice address
2134 CAPERNIUM RD, TR#2, CHERRYVILLE, NC 28021-9478
(704) 769-4075
(704) 769-4136
Mailing address
2134 CAPERNIUM RD, TR#2, CHERRYVILLE, NC 28021-9478
(704) 769-4075
(704) 769-4136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
NC
252Y00000X
Early Intervention Provider Agency
—
NC
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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