# LIFE MIND ALLIANCE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689332876
- **Authorized official:** LARISA ROLLINS KING PMHNP-BC (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (743) 229-3412

## Contact information

- **Practice address:** 1301 N MAIN ST, HIGH POINT, NC 27262-3128
- **Practice address phone:** (743) 229-3412
- **Practice address fax:** (743) 229-3807
- **Mailing address:** 1301 N MAIN ST, HIGH POINT, NC 27262-3128
- **Mailing address phone:** (743) 229-3412
- **Mailing address fax:** (743) 229-3807

## 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:** 12/04/2021
- **Last updated:** 07/09/2025