Active NPI
Mudita Mind, PLLC
- Marriage & Family Therapist
- Charlotte, NC
National Provider Identifier
1154022887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- MUDITA MIND, PLLC
- Practice address
- 1724 East Blvd
Charlotte, NC 28203-5986 - Phone
- (704) 804-8445
- NPI assigned
- Mar 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deanna Carvalho, LMFT
- Title
- Owner/Therapist
- Phone
- (704) 804-8445
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1724 East Blvd
Charlotte, NC 28203-5986
Mailing address
2606 Kendrick Ave
Charlotte, NC 28269-4416
National Provider Directory
National Provider DirectoryLocations
1724 East Blvd
Charlotte, NC 28203
Phone (704) 804-8445
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Charlotte, NC
- NPI 1174007553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678406400000",
"number": "1154022887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2606 KENDRICK AVE",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282694416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 EAST BLVD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282035986",
"telephone_number": "704-804-8445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUDITA MIND, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-10",
"last_updated": "2023-03-10",
"certification_date": "2023-03-10",
"status": "A",
"authorized_official_last_name": "CARVALHO",
"authorized_official_first_name": "DEANNA",
"authorized_official_title_or_position": "OWNER/THERAPIST",
"authorized_official_telephone_number": "704-804-8445",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.