Provider Demographics
NPI:1467268946
Name:MINDSCAPE PSYCHIATRY, PLLC
Entity type:Organization
Organization Name:MINDSCAPE PSYCHIATRY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ASIA
Authorized Official - Middle Name:DANYELL
Authorized Official - Last Name:MABRY
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:919-394-5498
Mailing Address - Street 1:105 PARRISH DR
Mailing Address - Street 2:
Mailing Address - City:PIKEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27863-9381
Mailing Address - Country:US
Mailing Address - Phone:919-394-5498
Mailing Address - Fax:
Practice Address - Street 1:105 PARRISH DR
Practice Address - Street 2:
Practice Address - City:PIKEVILLE
Practice Address - State:NC
Practice Address - Zip Code:27863-9381
Practice Address - Country:US
Practice Address - Phone:919-394-5498
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)