Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

The Intentional Mind Counseling Services, PLLC

Organization Mental Health Counselor · NPI 1417743964

The Intentional Mind Counseling Services, PLLC provides Mental Health Counselor services in Indian Trail, North Carolina. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

115 Unionville Indian Trail Rd W # A-5
Indian Trail, NC 28079-5583
Phone: (910) 750-2682
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1417743964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Lewis — Owner · (910) 750-2682
NPI enumeratedApril 18, 2025
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025
Mailing address4114 Oconnell St, Indian Trail, NC 28079-6792

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