Organization
MIND & MANE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZEAN KING (OWNER)
(919) 443-5697
Entity
Organization
Contact information
Practice address
3664 GENESIS LN, WAKE FOREST, NC 27587-6088
(919) 443-5697
Mailing address
3664 GENESIS LN, WAKE FOREST, NC 27587-6088
(919) 443-5697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/21/2022
Last updated
08/11/2023
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