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

Mindful Willow Wellness PLLC

Organization Clinical Social Worker · NPI 1265396642

Mindful Willow Wellness PLLC is a Clinical Social Worker in Raleigh, North Carolina. Works from 2 locations. 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

205 W Millbrook Rd Ste 205
Raleigh, NC 27609-4492
Phone: (919) 699-5450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2416 Treen St, Raleigh, NC 27614-7430 — (919) 699-5450

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1265396642
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eliza Russ — Owner/Therapist · (919) 699-5450
NPI enumeratedDecember 10, 2025
Last updated in NPPESFebruary 21, 2026
Certification dateFebruary 21, 2026
Mailing address2416 Treen St, Raleigh, NC 27614-7430

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