Provider Demographics
NPI:1245026475
Name:NUMIND HOLDINGS GROUP
Entity type:Organization
Organization Name:NUMIND HOLDINGS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DE LA MORA
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:509-643-6350
Mailing Address - Street 1:1030 N CENTER PKWY STE 112
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7160
Mailing Address - Country:US
Mailing Address - Phone:509-910-4559
Mailing Address - Fax:509-447-7455
Practice Address - Street 1:1030 N CENTER PKWY STE 112
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7160
Practice Address - Country:US
Practice Address - Phone:509-910-4559
Practice Address - Fax:509-447-7455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty