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Organization
MIND SHINE, LLC
Active
Organization
MIND SHINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SABRIYA LAILA SHARIF-HANIFA MS, LCASA (CEO)
(919) 758-4559
Entity
Organization
Contact information
Practice address
8360 SIX FORKS RD STE 102, RALEIGH, NC 27615-5087
(919) 758-4559
Mailing address
8360 SIX FORKS RD STE 102, RALEIGH, NC 27615-5087
(919) 758-4559
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NC
Other
Enumeration date
06/12/2017
Last updated
07/21/2022
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