Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1215781687 |
| LBN Legal business name | A HEALTHY MIND, LLC |
| Authorized official | NICOLE BARONA - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 04/12/2024 |
| Last updated | 04/12/2024 - About 2 years ago |
| Identifiers | n/a |
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