Organization
MIND & BODY WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEISTEY TINDALL PMHNP, FNP (OWNER)
(704) 476-9144
Entity
Organization
Contact information
Practice address
329 SILVER GROVE CHURCH RD, ROCKINGHAM, NC 28379-6978
(910) 387-3840
(704) 703-9668
Mailing address
329 SILVER GROVE CHURCH RD, ROCKINGHAM, NC 28379-6978
(704) 476-9144
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9032489075
—
NC
Enumeration date
02/22/2021
Last updated
01/20/2026
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