Provider Demographics
NPI:1801788872
Name:LABY-K MIND MATTERS LLC
Entity type:Organization
Organization Name:LABY-K MIND MATTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:OLUSADE
Authorized Official - Middle Name:O
Authorized Official - Last Name:FAKOLADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-457-7329
Mailing Address - Street 1:5477 RALFE RD
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46234-3753
Mailing Address - Country:US
Mailing Address - Phone:317-457-7329
Mailing Address - Fax:
Practice Address - Street 1:5477 RALFE RD
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46234-3753
Practice Address - Country:US
Practice Address - Phone:317-457-7329
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-16
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty