Mind Builders, Therapeutic Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C007792 Issued in NC

Legal business name

MIND BUILDERS, THERAPEUTIC SERVICES, PLLC

Practice address

10617 Kettering Dr Ste 109
Charlotte, NC 28226-4900

Phone

(980) 500-9180

Fax

(704) 496-2138

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Michelle Crosier, LCSW

Title

Owner

Phone

(980) 500-9180

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1154838217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10617 KETTERING DR STE 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264900",
            "telephone_number": "980-500-9180",
            "fax_number": "704-496-2138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10617 KETTERING DR STE 109",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282264900",
            "telephone_number": "980-500-9180",
            "fax_number": "704-496-2138"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 N Tryon St Ste 1618",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282020202",
            "country_code": "US",
            "telephone_number": "980-500-9180",
            "fax_number": "704-496-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND BUILDERS, THERAPEUTIC SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "CROSIER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "980-500-9180",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "C007792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.