Provider Demographics
NPI:1235923285
Name:MINDSET LA ASSESSMENTS LLC
Entity type:Organization
Organization Name:MINDSET LA ASSESSMENTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SACHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLLAS
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:310-741-7408
Mailing Address - Street 1:3786 BEETHOVEN ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90066-3536
Mailing Address - Country:US
Mailing Address - Phone:310-741-7408
Mailing Address - Fax:
Practice Address - Street 1:228 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:CA
Practice Address - Zip Code:90291-5235
Practice Address - Country:US
Practice Address - Phone:310-741-7408
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty