Organization
MARRAKESCH INC
Active
Other names
Mindful Missions Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
DONNETTE THOMAS (CEO)
(984) 500-7819
Entity
Organization
Contact information
Practice address
5736 N TRYON ST, CHARLOTTE, NC 28213-6850
(984) 500-7819
Mailing address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(984) 500-7819
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
221700000X
Art Therapist
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9563
—
SC
Enumeration date
02/07/2020
Last updated
04/14/2022
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