Mind & Mane Llc | |
3664 Genesis Ln Wake Forest NC 27587-6088 | |
(919) 443-5697 | |
Not Available |
Full Name | Mind & Mane Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3664 Genesis Ln, Wake Forest, North Carolina |
Authorized Official Name and Position | Zean King (OWNER) |
Authorized Official Contact | 9194435697 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mind & Mane Llc 3664 Genesis Ln Wake Forest NC 27587-6088 Ph: (919) 443-5697 | Mind & Mane Llc 3664 Genesis Ln Wake Forest NC 27587-6088 Ph: (919) 443-5697 |
NPI Number | 1578298774 |
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Provider Enumeration Date | 07/21/2022 |
Last Update Date | 08/11/2023 |
Certification Date | 08/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1578298774 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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