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

Blue Mist Psychotherapy, PLLC

Organization Clinical Social Worker · NPI 1174415442

Blue Mist Psychotherapy, PLLC is a Clinical Social Worker in Denver, 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

1864 Tacoma Way
Denver, NC 28037-1454
Phone: (704) 480-3693
Fax: (704) 703-6149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1174415442
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Julissa Corona — Owner/Therapist · (610) 841-6081
NPI enumeratedJuly 19, 2025
Last updated in NPPESJuly 19, 2025
Certification dateJuly 19, 2025
Mailing address1864 Tacoma Way, Denver, NC 28037-1454

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