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 is a Mental Health Counselor 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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