Provider Demographics
NPI:1962381251
Name:INNER MIND JOURNEY MENTAL HEALTH COUNSELING, PLLC
Entity type:Organization
Organization Name:INNER MIND JOURNEY MENTAL HEALTH COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EUNICE
Authorized Official - Middle Name:
Authorized Official - Last Name:SANTIAGO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:347-743-6066
Mailing Address - Street 1:238 WILSON AVE # B120
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237-8019
Mailing Address - Country:US
Mailing Address - Phone:646-389-5136
Mailing Address - Fax:646-389-5136
Practice Address - Street 1:270 WILSON AVE APT 2A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-5153
Practice Address - Country:US
Practice Address - Phone:347-743-6066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-29
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty