WISE MIND AND BODY, LLC
NPI 1417721630
Nurse Practitioner - Psychiatric/Mental Health in Fort Mill, SC

Q: What is Wise Mind And Body, LLC's NPI number?

The NPI number for Wise Mind And Body, LLC is 1417721630. It was assigned to this organization in the NPPES registry on November 8, 2023.

Q: What is Wise Mind And Body, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since November 08, 2023

142 NIMS SPRING DR, FORT MILL, SC 29715(631) 512-9807 Get Directions Write a Review

NPPES record last updated: November 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2023, Nov 8, 2023 (2 updates tracked since 2023).

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About Wise Mind And Body, Llc NPPES

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

WISE MIND AND BODY, LLC (NPI 1417721630) is a healthcare organization registered as a psychiatric/mental health in Fort Mill, South Carolina and active in the NPI registry since November 2023. The organization lists Joanna Wiseman, Ceo/owner, as its authorized official.

NPPES Registry Identity

NPI1417721630

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameWISE MIND AND BODY, LLC

Location Address142 NIMS SPRING DRFort Mill, SC 29715-6461

Mailing Address142 Nims Spring DrFort Mill, SC 29715-6461 · (631) 512-9807

Phone(631) 512-9807

Organization SubpartNo

Authorized OfficialJoanna WisemanCeo/owner · (631) 512-9807

Enumeration DateNovember 8, 2023

Last NPPES UpdateNovember 8, 20232 updates tracked since enumeration

NPPES CertifiedNovember 8, 2023

✔ NPI 1417721630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

142 NIMS SPRING DR, Fort Mill, SC 29715

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Other Names 1

Former Legal Business NameWise Mind And Body, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Wise Mind And Body, LLC's NPI number?

The NPI number for Wise Mind And Body, LLC is 1417721630. It was assigned to this organization in the NPPES registry on November 8, 2023.

Where is Wise Mind And Body, LLC located?

Wise Mind And Body, LLC is located at 142 Nims Spring Dr, Fort Mill, SC 29715. The listed phone number is (631) 512-9807.

What is Wise Mind And Body, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Wise Mind And Body, LLC was last updated on November 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.