Provider Demographics
NPI:1417829649
Name:LITEMINDED
Entity type:Organization
Organization Name:LITEMINDED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSOCIATE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KALEIGH
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:617-401-6678
Mailing Address - Street 1:303 5TH AVE RM 1308
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-6664
Mailing Address - Country:US
Mailing Address - Phone:617-401-6678
Mailing Address - Fax:
Practice Address - Street 1:303 5TH AVE RM 1308
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-6664
Practice Address - Country:US
Practice Address - Phone:617-401-6678
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty