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Organization
RICHARDSON MARTIN INCORPORATED
Active
Organization
RICHARDSON MARTIN INCORPORATED
Active
Other names
Mindology
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEVI CHRISTOPHER RICHARDSON (CO-CEO)
(843) 409-0491
Entity
Organization
Contact information
Practice address
727 W HARGETT ST STE 103, RALEIGH, NC 27603-1669
(919) 803-8038
Mailing address
727 W HARGETT ST STE 103, RALEIGH, NC 27603-1669
(919) 803-8038
(919) 882-8875
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/19/2021
Last updated
09/27/2024
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