| NPI | 1689436859 |
|---|---|
| Doing Business As | MIND FIT BEHAVIORAL HEALTH |
| Doing Business As | IVY ADVANCED PRACTICE HEALTH PLLC |
| Entity Type | Organization |
| Authorized Contact | IVY DE LEON Nurse Practitioner 704-978-8334 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-24 |
| Last Update Date | 2024-04-09 |