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MINDFUL WILLOW WELLNESS PLLC
NPI 1265396642
Social Worker - Clinical in Raleigh, NC

Active since December 10, 2025
205 W MILLBROOK RD STE 205, RALEIGH, NC 27609(919) 699-5450 Get Directions Write a Review

NPPES record last updated: February 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindful Willow Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MINDFUL WILLOW WELLNESS PLLC (NPI 1265396642) is a healthcare organization registered as a clinical in Raleigh, North Carolina and active in the NPI registry since December 2025. The organization maintains a secondary practice location in Raleigh and lists Eliza Russ, Owner/therapist, as its authorized official.

NPPES Registry Identity

NPI1265396642
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMINDFUL WILLOW WELLNESS PLLC
Location Address205 W MILLBROOK RD STE 205Raleigh, NC 27609-4492
Mailing Address2416 Treen StRaleigh, NC 27614-7430 · (919) 699-5450
Phone(919) 699-5450
Organization SubpartNo
Authorized OfficialEliza RussOwner/therapist · (919) 699-5450
Enumeration DateDecember 10, 2025
Last NPPES UpdateFebruary 21, 2026
NPPES CertifiedFebruary 21, 2026
✔ NPI 1265396642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
205 W MILLBROOK RD STE 205, Raleigh, NC 27609
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Secondary Practice Location 1

Location 12416 Treen StRaleigh, NC 27614-7430 · Phone (919) 699-5450

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK PATRICK TRELL DC
Chiropractor
205 W MILLBROOK RD STE 205
RALEIGH, NC 27609
Wake County (919) 755-0024
DR. JULIANNE BRUSKEWICZ-TRELL DC
Chiropractor
205 W MILLBROOK RD STE 205
RALEIGH, NC 27609
Wake County (919) 755-0024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mindful Willow Wellness PLLC's NPI number?

The NPI number for Mindful Willow Wellness PLLC is 1265396642. It was assigned to this organization in the NPPES registry on December 10, 2025.

Where is Mindful Willow Wellness PLLC located?

Mindful Willow Wellness PLLC is located at 205 W Millbrook Rd Ste 205, Raleigh, NC 27609. The listed phone number is (919) 699-5450.

What is Mindful Willow Wellness PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mindful Willow Wellness PLLC was last updated on February 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.