Provider Demographics
NPI:1144198458
Name:MINDSTONE HEALTH PLLC
Entity type:Organization
Organization Name:MINDSTONE HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARL
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, ACNPC-AG
Authorized Official - Phone:540-255-1845
Mailing Address - Street 1:8401 MAYLAND DR # 6975
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4648
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:173 VALLEY VIEW AVE
Practice Address - Street 2:
Practice Address - City:MOUNT SIDNEY
Practice Address - State:VA
Practice Address - Zip Code:24467-2205
Practice Address - Country:US
Practice Address - Phone:540-225-1845
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-28
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontologyGroup - Single Specialty