Mindful Creative Connections

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MINDFUL CREATIVE CONNECTIONS

Practice address

5201 Fox Hunt Dr Apt G
Greensboro, NC 27407-6353

Phone

(336) 825-2603

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Princes Andreta Carter

Title

Owner

Phone

(336) 825-2603

Specialties & licenses 6

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1023891157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 FOX HUNT DR APT G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076353",
            "telephone_number": "336-825-2603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 FOX HUNT DR APT G",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274076353",
            "telephone_number": "336-825-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL CREATIVE CONNECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "PRINCES",
        "authorized_official_middle_name": "ANDRETA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-825-2603",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310500000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Mims, MA CCC-SLP
• Andrew Julian Mincey, MD
• Mind and Mood Psychological Services PLLC
• Mind Body & Soul Counseling & Wellness Center
• Mind Healing Therapeutic Services PLLC
• Arthur B Mines, M.A. CCC-A
• Anna Minnick, RN
• Ellbree Minor, CMA
• John Scott Minor, DDS
• William Stephen Minor Jr., RN MSN ACNP

• Community/Behavioral Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.