| New Mentality, Pc | |
|
816 Brawley School Rd Ste D Mooresville NC 28117-6201 | |
| (704) 799-1270 | |
| (704) 799-1271 |
| Full Name | New Mentality, Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 816 Brawley School Rd Ste D, Mooresville, North Carolina |
| Authorized Official Name and Position | Tracy Alston (OWNER) |
| Authorized Official Contact | 9196062566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Mentality, Pc 816 Brawley School Rd Ste D Mooresville NC 28117-6201 Ph: (704) 799-1270 | New Mentality, Pc 816 Brawley School Rd Ste D Mooresville NC 28117-6201 Ph: (704) 799-1270 |
| NPI Number | 1679812317 |
|---|---|
| Provider Enumeration Date | 01/31/2013 |
| Last Update Date | 01/31/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679812317 | NPI | - | NPPES |
| 6104562 | Medicaid | NC | |
| 6103735 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7830 (North Carolina) | Primary |
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