Mindful Life Connections, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

MINDFUL LIFE CONNECTIONS, PLLC

Practice address

3307 Watkins Rd Ste 227
Durham, NC 27707-3350

Phone

(919) 797-9075

Fax

(984) 439-7737

NPI assigned

Jan 26, 2023

Organization subpart

No

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

Authorized official

Name

Vanessa M. Talley, LCSW, LCASANPI 1942964382

Title

Owner/Manager and Lead Clinician

Phone

(919) 797-9075

Specialties & licenses 1

Addresses

Other names 1

• Mindful Life Connections, PLLC Doing business as

Locations

Practitioners 2

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

• Vanessa M Talley, MSW, LCSW

  • Clinical Social Worker
  • Durham, NC
  • NPI 1942964382
  NPD Authorized official
• Melanie Lynn Graves

  • Social Worker
  • Durham, NC
  • NPI 1437613767
  NPD

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

{
    "created_epoch": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1992411615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 WATKINS RD STE 227",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073350",
            "telephone_number": "919-797-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 WATKINS RD STE 227",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073350",
            "telephone_number": "919-797-9075",
            "fax_number": "984-439-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL LIFE CONNECTIONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "TALLEY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/MANAGER AND LEAD CLINICIAN",
        "authorized_official_telephone_number": "919-797-9075",
        "authorized_official_credential": "LCSW, LCASA"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mindful Life Connections, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarah Catherine Mills, PHARMD
• Stephen Christopher Mills, DPT
• Olga Milo-Cotter, MD
• Mocha Marie Mims, LCMHC, PH.D
• Mindful Bodies
• Mindful Paths PLLC
• Mindpath Care Centers, North Carolina, PLLC
• Dean Miner
• David Yung Ming, M.D.
• Eileen Minges

• Clinical Social Worker in Durham, NC
• Providers in Durham, 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 Mar 15, 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.

Verify at the official NPI Registry.