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Contact Information

HEALING MINDS CLINIC, PLLC
65 PROFESSIONAL PLACE
SUITE 101
BRIDGEPORT, WV26330
 Phone: 304-842-6463
 Fax: 304-842-8180
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HEALING MINDS CLINIC, PLLC

NPI # 1023370434
LBN Legal business name HEALING MINDS CLINIC, PLLC
Authorized official AMY HEBB - (LICENSED PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/12/2012
Last updated 05/09/2014 - About 12 years ago
Identifiers
WV License # 1038
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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