Provider Demographics
NPI:1366954034
Name:HEALTHY MINDS CONSULTING LLC
Entity type:Organization
Organization Name:HEALTHY MINDS CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LEILANI
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, PIP
Authorized Official - Phone:251-333-2777
Mailing Address - Street 1:5020 HIGHWAY 164
Mailing Address - Street 2:
Mailing Address - City:MC DAVID
Mailing Address - State:FL
Mailing Address - Zip Code:32568-1917
Mailing Address - Country:US
Mailing Address - Phone:850-982-3670
Mailing Address - Fax:251-241-7202
Practice Address - Street 1:3421 HIGHWAY 21
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-4669
Practice Address - Country:US
Practice Address - Phone:251-333-2777
Practice Address - Fax:251-241-7202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL3629C251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare