Provider Demographics
NPI:1184337412
Name:PSYCHMIND COUNSELING AND PSYCHIATRY LLC
Entity type:Organization
Organization Name:PSYCHMIND COUNSELING AND PSYCHIATRY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:TYLER
Authorized Official - Last Name:BLEVINS
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:859-328-2473
Mailing Address - Street 1:330 EASTERN BYP STE 1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-2786
Mailing Address - Country:US
Mailing Address - Phone:859-328-2473
Mailing Address - Fax:859-545-4701
Practice Address - Street 1:330 EASTERN BYP STE 1
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-2786
Practice Address - Country:US
Practice Address - Phone:859-328-2473
Practice Address - Fax:859-545-4701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty