Provider Demographics
NPI:1174064497
Name:HEALTHY MINDS COUNSELING SERVICES, INC.
Entity type:Organization
Organization Name:HEALTHY MINDS COUNSELING SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:HAYDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:502-783-6030
Mailing Address - Street 1:2225 LAWRENCEBURG RD
Mailing Address - Street 2:BUILDING B, SUITE 4
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-9128
Mailing Address - Country:US
Mailing Address - Phone:502-783-6030
Mailing Address - Fax:855-727-3501
Practice Address - Street 1:2225 LAWRENCEBURG RD
Practice Address - Street 2:BUILDING B, SUITE 4
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-9128
Practice Address - Country:US
Practice Address - Phone:502-783-6030
Practice Address - Fax:855-727-3501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-20
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY127944101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty