Provider Demographics
NPI:1508669573
Name:MIND YOU WELLNESS LLC
Entity type:Organization
Organization Name:MIND YOU WELLNESS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NURSEPRACTITIONER/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAKINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALSTON
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:704-412-4219
Mailing Address - Street 1:121 N MAIN ST STE 206
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-3544
Mailing Address - Country:US
Mailing Address - Phone:704-412-4219
Mailing Address - Fax:
Practice Address - Street 1:121 N MAIN ST STE 206
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-3544
Practice Address - Country:US
Practice Address - Phone:704-412-4219
Practice Address - Fax:704-765-6905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-27
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health