# MINDFUL GROWTH PSYCHIATRY

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

## Provider details

- **NPI number:** 1902757941
- **Authorized official:** IEACHIA TANISHA MORRIS PMHNP-BC (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (540) 397-2349

## Contact information

- **Practice address:** 5540 CENTERVIEW DR STE 204, RALEIGH, NC 27606-8012
- **Practice address phone:** (704) 781-8985
- **Mailing address:** 5540 CENTERVIEW DR STE 204, PMB 401821, RALEIGH, NC 27606-8012
- **Mailing address phone:** (704) 781-8985

## 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:** 02/05/2026
- **Last updated:** 02/05/2026
