| Mindology | |
|
727 W Hargett St Ste 103 Raleigh NC 27603-1669 | |
| (919) 803-8038 | |
| Not Available |
| Full Name | Mindology |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 727 W Hargett St Ste 103, Raleigh, North Carolina |
| Authorized Official Name and Position | Levi Christopher Richardson (CO-CEO) |
| Authorized Official Contact | 8434090491 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindology 727 W Hargett St Ste 103 Raleigh NC 27603-1669 Ph: (919) 803-8038 | Mindology 727 W Hargett St Ste 103 Raleigh NC 27603-1669 Ph: (919) 803-8038 |
| NPI Number | 1730765884 |
|---|---|
| Provider Enumeration Date | 03/19/2021 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 1658766431 |
|---|---|
| Medicare Enrollment ID | O20220314000856 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730765884 | NPI | - | NPPES |
| Provider Name | Dorine Henrietta Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093811705 PECOS PAC ID: 1153456389 Enrollment ID: I20100312000908 |
| Provider Name | Jasmine Marie Moore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386285237 PECOS PAC ID: 3072908268 Enrollment ID: I20220325001367 |
| Provider Name | Princess P Minter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073270500 PECOS PAC ID: 0648651703 Enrollment ID: I20220720002270 |
| Provider Name | Taylor Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598294456 PECOS PAC ID: 4981043130 Enrollment ID: I20240419002837 |
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