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Organization

MINDFULLNESS COUNSELING AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NAKESHIA N WILLIAMS PH.D. (CEO)
(704) 309-7208
Entity
Organization

Contact information

Practice address
4822 ALBEMARLE RD, SUITE 200, CHARLOTTE, NC 28205-6668
(704) 309-7208
Mailing address
4822 ALBEMARLE RD, SUITE 200, CHARLOTTE, NC 28205-6668
(704) 309-7208

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
103TC0700X
Clinical Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TP2701X
Group Psychotherapy Psychologist
104100000X
Social Worker
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
132700000X
Dietary Manager
133N00000X
Nutritionist
136A00000X
Registered Dietetic Technician
2084P0800X
Psychiatry Physician
129145
NC

Other

Enumeration date
05/02/2016
Last updated
01/22/2017
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