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Organization
OPEN HEARTS HEALING MINDS
Active
Organization
OPEN HEARTS HEALING MINDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TABATHA COX (OWNER)
(336) 546-5003
Entity
Organization
Contact information
Practice address
8025 N POINT BLVD STE 139, WINSTON SALEM, NC 27106-3262
(336) 546-5003
Mailing address
611 RIVERSIDE DR, MOUNT AIRY, NC 27030-3116
(336) 401-3464
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/02/2020
Last updated
11/02/2023
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