Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X | |||
Case Management |
251B00000X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Community/Behavioral Health |
251S00000X | |||
Psychologist |
103T00000X | 62 | Psychologist, Clinical | |
Public Health, Federal |
261QP0904X | |||
School |
101YS0200X |
| NPI Number | 1306602354 |
| LBN Legal business name | HEALING MINDS COMMUNITY SUPPORT LLC |
| Authorized official | LISA RICHARDSON - (OWNER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 02/27/2024 |
| Last updated | 02/27/2024 - About 2 years ago |
| Identifiers | n/a |
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