| NPI | 1730765884 |
|---|---|
| Doing Business As | MINDOLOGY |
| Entity Type | Organization |
| Authorized Contact | LEVI CHRISTOPHER RICHARDSON Co CEO 843-409-0491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 363A00000X Physician Assistant | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-09-27 |