# MINDSPIRE HEALTH PLLC

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

## Provider details

- **NPI number:** 1740078930
- **Authorized official:** ASHLEY NICOLE SUSKO (NURSE PRACTITIONER/ OWNER)
- **Authorized official phone:** (704) 269-8933

## Contact information

- **Practice address:** 4030 WAKE FOREST RD STE 349, RALEIGH, NC 27609-0010
- **Practice address phone:** (704) 269-8933
- **Mailing address:** 1009 N CALDWELL ST APT 1618, CHARLOTTE, NC 28206-3599
- **Mailing address phone:** (704) 269-8933

## 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:** 04/28/2025
- **Last updated:** 12/17/2025