Organization
MINDFUL MISSIONS OF AMERICA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONNETTE SPRUILL (EXECUTIVE DIRECTOR)
(424) 367-2316
Entity
Organization
Contact information
Practice address
6000 FAIRVIEW RD, CHARLOTTE, NC 28210-2224
(980) 285-7039
Mailing address
6000 FAIRVIEW RD, CHARLOTTE, NC 28210-2224
(980) 285-7039
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/18/2025
Last updated
09/18/2025
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