Organization
HEALTHY MINDS NOW P.A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIMABINDU RAVI M.D (OWNER/MEDICAL DIRECTOR)
(919) 346-3363
Entity
Organization
Contact information
Practice address
7629 PURFOY RD, SUITE 109, FUQUAY VARINA, NC 27526-9549
(919) 889-5124
(919) 794-5497
Mailing address
206 KENNONDALE CT, CARY, NC 27519-7164
(919) 346-3363
(919) 794-5497
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
200300281
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891370W
—
NC
Enumeration date
06/29/2010
Last updated
06/30/2010
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