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Organization

MIND GARDEN BEHAVIORAL HEALTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANNON L ANES MSN, APRN, PMHNP-BC (MEMBER/ORGANIZER)
(704) 312-0496
Entity
Organization

Contact information

Practice address
8001 RAINTREE LN STE 213-1106, CHARLOTTE, NC 28277-8920
(704) 312-0496
Mailing address
8001 RAINTREE LN STE 213-1106, CHARLOTTE, NC 28277-8920
(704) 312-0496

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/18/2025
Last updated
09/18/2025
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