Mind & Soul Wellness PLLC

Key facts

NPI

1245945112

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Counselor 101YM0800X

Legal business name

MIND & SOUL WELLNESS PLLC

Practice address

1201 Aversboro Rd Ste D
Garner, NC 27529-4586

Phone

(919) 244-2490

NPI assigned

Jan 16, 2023

Organization subpart

No

Authorized official

Name

Sonia Renee Harris, LCMHC NPI 1538127964

Title

Licensed Clinical Therapist

Phone

(412) 378-0954

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sonia Renee Harris, M.ED. LPC Mental Health Counselor · Garner, NC · NPI 1538127964
  Medicare reassignment NPD Authorized official MENTAL HEALTH · NC · PA

Medicare participation

Medicare fee-for-service enrollment

Enrolled (2 enrollments) in NC, PA

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2025.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1245945112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 EVOLVE DR",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294693",
            "telephone_number": "412-378-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AVERSBORO RD STE D",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275294586",
            "telephone_number": "919-244-2490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1230 SE Maynard Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275116945",
            "country_code": "US",
            "telephone_number": "919-244-2490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MIND & SOUL WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL THERAPIST",
        "authorized_official_telephone_number": "412-378-0954",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

• Lee Andrea Miller, MSP, CCC-SLP
• Tammy Spears Miller, LCSW
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• Martha Jane Mills, R.N.
• Mind & Body Therapeutic Connections, PLLC
• Mireeco LLC
• Stephen Miura, LCSWA
• Elizabeth Lee Mizelle, D.O.
• MKP Transportation LLC
• Winnie Momanyi

All providers in Garner, NC · Mental Health Counselor in North Carolina