Organization
NEW MENTALITY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRACY ALSTON LPC (OWNER)
(919) 606-2566
Entity
Organization
Contact information
Practice address
816 BRAWLEY SCHOOL RD, SUITE D, MOORESVILLE, NC 28117-6869
(919) 606-2566
Mailing address
816 BRAWLEY SCHOOL RD, SUITE D, MOORESVILLE, NC 28117-6869
(919) 606-2566
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
7830
NC
Other
Enumeration date
06/27/2012
Last updated
01/31/2013
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