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Organization
NEW MENTALITY, PC
Active
Organization
NEW MENTALITY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY ALSTON MA, LPC (OWNER)
(919) 606-2566
Entity
Organization
Contact information
Practice address
816 BRAWLEY SCHOOL RD STE D, MOORESVILLE, NC 28117-6201
(704) 799-1270
(704) 799-1271
Mailing address
816 BRAWLEY SCHOOL RD STE D, MOORESVILLE, NC 28117-6201
(704) 799-1270
(704) 799-1271
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
7830
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6103735
—
NC
05
—
6104562
—
NC
Enumeration date
01/31/2013
Last updated
01/31/2013
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