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

Wise Mind and Body, LLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1417721630

Wise Mind and Body, LLC is a Psychiatric/Mental Health Nurse Practitioner in Fort Mill, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 Nims Spring Dr
Fort Mill, SC 29715-6461
Phone: (631) 512-9807
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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 number1417721630
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Wiseman — Ceo/Owner · (631) 512-9807
Other names Wise Mind And Body, Llc
NPI enumeratedNovember 8, 2023
Last updated in NPPESNovember 13, 2023
Certification dateNovember 13, 2023
Mailing address142 Nims Spring Dr, Fort Mill, SC 29715-6461

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