Provider Demographics
NPI:1548053341
Name:MIND AND MOTION WELLNESS CENTER PLLC
Entity type:Organization
Organization Name:MIND AND MOTION WELLNESS CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MERCEDES
Authorized Official - Middle Name:R
Authorized Official - Last Name:WHITWORTH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:412-983-9388
Mailing Address - Street 1:784 ALEXANDER COMMONS DR
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28112-7650
Mailing Address - Country:US
Mailing Address - Phone:412-983-9388
Mailing Address - Fax:704-218-2830
Practice Address - Street 1:784 ALEXANDER COMMONS DR
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-7650
Practice Address - Country:US
Practice Address - Phone:412-983-9388
Practice Address - Fax:704-218-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-23
Last Update Date:2025-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty