Organization
MINDFUL EXPRESSIONS COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON A PEREZ LCSW (THERAPIST/OWNER)
(910) 367-5036
Entity
Organization
Contact information
Practice address
8128 RIVER RD SE, SOUTHPORT, NC 28461-8972
(910) 367-5036
(910) 477-9030
Mailing address
5503 ROB GANDY BLVD, SUITE 1D, SOUTHPORT, NC 28461
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/17/2023
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