| The Mize Collective | |
|
1314 Ecola Valley Ct Wake Forest NC 27587-4915 | |
| (984) 212-2757 | |
| Not Available |
| Full Name | The Mize Collective |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1314 Ecola Valley Ct, Wake Forest, North Carolina |
| Authorized Official Name and Position | Autumn Mize (OWNER/EMPLOYEE) |
| Authorized Official Contact | 9842122757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mize Collective 1314 Ecola Valley Ct Wake Forest NC 27587-4915 Ph: () - | The Mize Collective 1314 Ecola Valley Ct Wake Forest NC 27587-4915 Ph: (984) 212-2757 |
| NPI Number | 1396535167 |
|---|---|
| Provider Enumeration Date | 05/07/2025 |
| Last Update Date | 05/07/2025 |
| Certification Date | 05/07/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396535167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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