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

Mind Haven Psychiatry PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1417742883

Mind Haven Psychiatry PLLC is a Psychiatric/Mental Health Nurse Practitioner in Stallings, 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.

See every abbreviation used in this directory →

Practice location Address checks out

1981 Stallings Rd
Stallings, NC 28104-1104
Phone: (704) 709-5515
Fax: (704) 709-5537
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1417742883
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jasmine McEntyre — Np/Pmhnp · (828) 318-4551
NPI enumeratedApril 14, 2025
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address4728 Audrey Dr, Winston Salem, NC 27127-6698