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Headspace & Wellness
Psychiatric/Mental Health Nurse Practitioner in Clemmons, North Carolina
NPI 1811680390

Headspace & Wellness is a Psychiatric/Mental Health Nurse Practitioner based in Advance, NC and is specialized in Psychiatric/Mental Health. Headspace & Wellness practices in Clemmons, NC. The NPI Number for Headspace & Wellness is 1811680390 and holds a License No. (North Carolina).

The current practice location address for Headspace & Wellness is 2509A Lewisville Clemmons Rd # 1012, Clemmons, NC and can be reached out via phone at 704-703-3417.

Location: 2509A Lewisville Clemmons Rd # 1012, Clemmons, NC, 27006-7310
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811680390
Provider Name
Headspace & Wellness
Credential
Provider Entity Type
Organization
Address
2509A Lewisville Clemmons Rd # 1012, Clemmons, NC, 27006-7310
Phone Number
704-703-3417
Fax Number
Provider Enumeration Date
05/31/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2509A Lewisville Clemmons Rd # 1012
City
Clemmons
State
North Carolina
Zip
27012-8712
Phone Number
704-703-3417
Fax Number
person
Provider Business Mailing Address Details
Address
2509A Lewisville Clemmons Rd # 1012
City
Clemmons
State
North Carolina
Zip
27012-8712
Phone Number
704-703-3417
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health, Adult
Taxonomy
163WP0809X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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