Provider Demographics
NPI:1710720560
Name:MIND MATTERS SOLUTIONS LLC
Entity type:Organization
Organization Name:MIND MATTERS SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CE0
Authorized Official - Prefix:DR
Authorized Official - First Name:SHALANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHULER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:803-378-8559
Mailing Address - Street 1:223 DELMONT ROAD
Mailing Address - Street 2:
Mailing Address - City:BOWMAN
Mailing Address - State:SC
Mailing Address - Zip Code:29018
Mailing Address - Country:US
Mailing Address - Phone:803-378-8559
Mailing Address - Fax:
Practice Address - Street 1:223 DELMONT RD
Practice Address - Street 2:
Practice Address - City:BOWMAN
Practice Address - State:SC
Practice Address - Zip Code:29018-9383
Practice Address - Country:US
Practice Address - Phone:803-378-8559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-18
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty