Mindful Therapy Services PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL THERAPY SERVICES PLLC

Practice address

917 Micahs Way N
Spring Lake, NC 28390-6001

Phone

(910) 580-4357

NPI assigned

Jul 22, 2022

Organization subpart

No

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

Authorized official

Name

Desirrae Anderson-Harris, LCSW

Title

Owner

Phone

(910) 580-4357

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1658448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658448000000",
    "number": "1548995699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "917 MICAHS WAY N",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283906001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 MICAHS WAY N",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283906001",
            "telephone_number": "910-580-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL THERAPY SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-22",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON-HARRIS",
        "authorized_official_first_name": "DESIRRAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-580-4357",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Antony McRae
• Margaret McSherry, LCSW
• Kaitlyn E Meiners
• Lillie Melissa Miller
• Linda Miller
• Sarah Elizabeth Mischo, DMD
• Emily Molina
• Tamara Moore
• Autumn Skylar Morgan
• Christopher Morrow, PA-C

• Clinical Social Worker in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.