MINDLY GROUP, PLLC (NPI# 1306196944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306196944 |
| Entity Type | Organization |
| Organization Name | MINDLY GROUP, PLLC |
| Practice Address |
8406 Six Forks Rd Suite 204 Raleigh NC 27615-3074 |
| Practice Telephone | 9196179656 |
| Practice Fax Number | 9196179656 |
| Mailing Telephone | 9196179656 |
| Mailing Fax Number | 9196179656 |
| Enumeration Date | 2012-09-11 |
| Last Update Date | 2017-02-17 |
| Authorized Official Name | MR. BRYAN ROBERT LANDAAS (OWNER) |
| Authorized Official Telephone | 9199238752 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
C007721 | NC | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
8809 | NC | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6008821 | 05 |
| Street Address |
8406 SIX FORKS RD SUITE 204 |
| City | RALEIGH |
| State | NC |
| Zip Code | 27615-3074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972603231 | Michael O Citron | Emergency Medicine | 8406 Six Forks Rd, Suite 101, Raleigh, NC 27615-3074 | 2006-09-25 |
| 1568989713 | Jessica Danyelle Faison | Marriage & Family Therapist | 8406 Six Forks Rd, Raleigh, NC 27615-3074 | 2017-08-28 |
| 1568890739 | Sarah Renee Smusz | Social Worker | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2013-10-24 |
| 1568801991 | Jasmine Maria Potts | Counselor | 8406 Six Forks Rd, Ste. 204, Raleigh, NC 27615-3074 | 2013-06-19 |
| 1225345689 | Stephanie Dawn Phillips | Counselor | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2010-09-07 |
| 1508095563 | Heather Klein Hale | Counselor | 8406 Six Forks Rd, Suite 102, Raleigh, NC 27615 | 2009-07-10 |
| 1144480922 | Connie Shelton Lancaster | Counselor | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2008-06-15 |
| 1417153222 | Advanced Health Resources | Community/Behavioral Health | 8406 Six Forks Rd, Ste 201, Raleigh, NC 27615-3074 | 2007-06-27 |
| 1336345149 | Advanced Health Resources | Community/Behavioral Health | 8406 Six Forks Rd, Suite 201, Raleigh, NC 27615-3074 | 2007-06-27 |
| 1609935915 | Advanced Health Resources Inc | Community/Behavioral Health | 8406 Six Forks Rd, Ste 201, Raleigh, NC 27615-3074 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588278535 | Emily Grace Johnson | Behavior Technician | 119 Wind Chime Court, Suite 4, Raleigh, NC 27615 | 2020-09-06 |
| 1730706110 | Maja V Martin, Dds, Pa1 | Clinic/Center | 7371 Six Forks Road, Raleigh, NC 27615 | 2020-07-01 |
| 1972146967 | Atlantic Avenue Pharmaceutical, Inc | Pharmacy | 5621 Atlantic Ave, Suite 103, Raleigh, NC 27615 | 2019-10-22 |
| 1023503950 | Siyara Shannay Dobbs | Social Worker | 7013 Woodbend Dr Apt H, Raleigh, NC 27615 | 2018-06-23 |
| 1194210153 | Brittanie Ja'nell Harris | Dentist | 1911 Falls Valley Dr Ste 107, Raleigh, NC 27615 | 2018-06-22 |
| 1710489448 | Sherise Swensen | Social Worker | 8368 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2018-03-08 |
| 1881100345 | Casey Paul Baine | Counselor | 6330 Falls of Neuse Rd Ste 104, Raleigh, NC 27615 | 2017-12-20 |
| 1588177885 | Michael Lacidonia | Acupuncturist | 6400 Falls of Neuse Rd Ste 200, Raleigh, NC 27615 | 2017-11-08 |
| 1457877631 | Matt Henderson | Behavioral Analyst | 8374 Six Forks Road, Suite 101, Raleigh, NC 27615 | 2017-08-18 |
| 1760907646 | Shakeda Muldrow | Social Worker | 7323 Brookbank Lane, Raleigh, NC 27615 | 2017-08-11 |
| Find all providers in zip 27615 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043811243 | Ally Health Services LLC | Counselor | 3811 Tarheel Dr Ste 106, Raleigh, NC 27609-7548 | 2020-11-04 |
| 1669070561 | Yazmeen Nilaja Irving | Counselor | 1654 Brownairs Ln, Raleigh, NC 27610-3490 | 2020-10-13 |
| 1194323980 | James P Perkins Jr. | Counselor | 4205 Wake Forest Rd Ste 101, Raleigh, NC 27609-6246 | 2020-10-13 |
| 1598362154 | Polaris Psychological Health Counseling and Consulting Services Pllc | Counselor | 181 Wind Chime Ct Ste 201, Raleigh, NC 27615-6573 | 2020-10-07 |
| 1740897099 | Nola Metz Allan | Counselor | 537 Rand Rd, Raleigh, NC 27603-8715 | 2020-09-29 |
| 1346856291 | Julie Freeman | Counselor | 2108 Langdon Rd, Raleigh, NC 27604-3616 | 2020-09-16 |
| 1104438738 | Rebekah Lynn Musselwhite | Counselor | 8512 Six Forks Rd Ste 1010, Raleigh, NC 27615-3255 | 2020-08-17 |
| 1487263026 | Better Health Counseling & Wellness, Pllc | Counselor | 5245 Pinehall Wynd, Raleigh, NC 27604-5827 | 2020-07-29 |
| 1174132021 | Kimberley Irene Gada-steinauer | Counselor | 4913 Professional Ct Ste 207, Raleigh, NC 27609-1926 | 2020-07-27 |
| 1780202085 | Tessa Blair Nayowith | Counselor | 6512 Six Forks Rd Ste 403b, Raleigh, NC 27615-6526 | 2020-07-13 |
| Find all providers in RALEIGH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.