Our Mindful Horizons

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OUR MINDFUL HORIZONS

Practice address

2601 N Tryon St Ste B
Charlotte, NC 28206-2713

Phone

(704) 201-5642

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Erica Renee Wilson

Title

Owner

Phone

(704) 201-5642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1740025832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2601 N TRYON ST STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062713",
            "telephone_number": "704-201-5642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2601 N TRYON ST STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282062713",
            "telephone_number": "704-201-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR MINDFUL HORIZONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-201-5642"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.