Organization
ANIMO SANO PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MINA BOAZAK MD (FOUNDER AND MEDICAL DIRECTOR)
(919) 391-7202
Entity
Organization
Contact information
Practice address
5501 FORTUNES RIDGE DR STE P, DURHAM, NC 27713-6102
(919) 391-7202
(919) 391-7203
Mailing address
5501 FORTUNES RIDGE DR STE P, DURHAM, NC 27713-6102
(919) 391-7202
(919) 391-7203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
04/20/2021
Last updated
12/17/2025
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