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Organization
NEW CREATION MINDSET
Active
Organization
NEW CREATION MINDSET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA BANKS-JOHNSON (OWNER LCMHC)
(818) 482-5612
Entity
Organization
Contact information
Practice address
4751 SCENIC PINE LN, CONCORD, NC 28025-8099
(818) 482-5612
Mailing address
4751 SCENIC PINE LN, CONCORD, NC 28025-8099
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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