Organization
MINDSET OF OPTIMISM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LEGGETTE (AO)
(803) 260-0429
Entity
Organization
Contact information
Practice address
4 KIT AVE, KINGSTREE, SC 29556-6770
(803) 260-0429
Mailing address
4 KIT AVE, KINGSTREE, SC 29556-6770
(803) 445-5646
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/23/2024
Last updated
07/08/2024
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