Provider Demographics
NPI:1487290268
Name:A HEALTHY MIND, LLC
Entity type:Organization
Organization Name:A HEALTHY MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CIERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATISTE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:901-569-7149
Mailing Address - Street 1:8500 N STEMMONS FWY STE 3052
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-3969
Mailing Address - Country:US
Mailing Address - Phone:214-534-8479
Mailing Address - Fax:214-617-0443
Practice Address - Street 1:8500 N STEMMONS FWY STE 3052
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75247-3969
Practice Address - Country:US
Practice Address - Phone:214-534-8479
Practice Address - Fax:214-617-0443
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:A HEALTHY MIND, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-11-27
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No251B00000XAgenciesCase ManagementGroup - Multi-Specialty
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty