Organization
MINDHEALTHY PC
Active
Organization
MINDHEALTHY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE GANS (CEO)
(888) 411-1520
Entity
Organization
Contact information
Practice address
909 AVIATION PKWY STE 400, MORRISVILLE, NC 27560-6603
(888) 510-1352
Mailing address
909 AVIATION PKWY STE 400, MORRISVILLE, NC 27560-6603
(888) 510-1352
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/07/2021
Last updated
01/24/2024
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