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MIND HAVEN PSYCHIATRY PLLC
NPI 1417742883
Nurse Practitioner - Psychiatric/Mental Health in Stallings, NC

Active since April 14, 2025
1981 STALLINGS RD, STALLINGS, NC 28104(704) 709-5515(704) 709-5537 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mind Haven Psychiatry Pllc NPPES

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

MIND HAVEN PSYCHIATRY PLLC (NPI 1417742883) is a healthcare organization registered as a psychiatric/mental health in Stallings, North Carolina and active in the NPI registry since April 2025. The organization lists Jasmine Mcentyre, Np/pmhnp, as its authorized official.

NPPES Registry Identity

NPI1417742883
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMIND HAVEN PSYCHIATRY PLLC
Location Address1981 STALLINGS RDStallings, NC 28104-1104
Mailing Address4728 Audrey DrWinston Salem, NC 27127-6698 · (828) 318-4551
Phone(704) 709-5515
Fax(704) 709-5537
Organization SubpartNo
Authorized OfficialJasmine McentyreNp/pmhnp · (828) 318-4551
Enumeration DateApril 14, 2025
Last NPPES UpdateApril 16, 2026
NPPES CertifiedApril 16, 2026
✔ NPI 1417742883 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
1981 STALLINGS RD, Stallings, NC 28104
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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 Mind Haven Psychiatry PLLC's NPI number?

The NPI number for Mind Haven Psychiatry PLLC is 1417742883. It was assigned to this organization in the NPPES registry on April 14, 2025.

Where is Mind Haven Psychiatry PLLC located?

Mind Haven Psychiatry PLLC is located at 1981 Stallings Rd, Stallings, NC 28104. The listed phone number is (704) 709-5515.

What is Mind Haven Psychiatry PLLC'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 Mind Haven Psychiatry PLLC was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.