Provider Demographics
NPI:1861215600
Name:HEALING MINDSET
Entity type:Organization
Organization Name:HEALING MINDSET
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:810-337-8579
Mailing Address - Street 1:511 OLDE TOWNE RD #80102
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MI
Mailing Address - Zip Code:48308
Mailing Address - Country:US
Mailing Address - Phone:810-337-8579
Mailing Address - Fax:
Practice Address - Street 1:511 OLDE TOWNE RD #80102
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MI
Practice Address - Zip Code:48308
Practice Address - Country:US
Practice Address - Phone:810-337-8579
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty