CHANGING MINDS, LLC


Address: 835 Highway 90 Ste 12, Bay St Louis, MS 39520-1607
Phone: 2284632680

CHANGING MINDS, LLC (NPI# 1295365922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295365922
Entity Type Organization
Organization Name CHANGING MINDS, LLC
Practice Address 835 Highway 90 Ste 12
Bay St Louis
MS 39520-1607
Practice Telephone 2284632680
Mailing Telephone 2284632680
Enumeration Date 2020-01-22
Last Update Date 2020-01-22
Authorized Official Name MRS. COLLEEN MCMAHON (OWNER)
Authorized Official Telephone 2284632680
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0855X Clinic/Center
Specialization: Adolescent and Children Mental Health
Ambulatory Health Care Facilities

Office Location

Street Address 835 HIGHWAY 90 STE 12
City BAY ST LOUIS
State MS
Zip Code 39520-1607

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1508470568 Michael Stephens Student in an Organized Health Care Education/Training Program 236 Eighth Street, Bay Saint Louis, MS 39520 2020-09-06
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1942551445 Hancock Medical Health Services Nurse Practitioner 750 Blue Meadow Road, Bay St Louis, MS 39520 2012-09-24
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1669762902 Stacey Marie Kreher Nurse Practitioner 1009 Benigno Ln., Hancock Women's Center, Bay St. Louis, MS 39520 2011-04-07
1639352123 Joyce Deloris Buie Nurse Practitioner 3062 Longfellow Rd, #25, Bay St. Louis, MS 39520 2007-12-07
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Taxonomy Information

Taxonomy Code 261QM0855X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adolescent and Children Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366093791 Region Ten State of Ms Clinic/Center 832 Highway 19 N Ste 510, Meridian, MS 39307-5876 2019-09-26
1194230789 Mississippi Children's Home Society - Canopy Children's Solutions Clinic/Center 1513 Lakeland Dr Ste 200, Jackson, MS 39216-4861 2017-12-05
1568984292 Ducere Investment Group Inc Clinic/Center 1312b Harrison Ave, Mccomb, MS 39648-2830 2017-07-14
1013141357 Ideal Provider, LLC Clinic/Center 8869 Centre St # 3, Southaven, MS 38671-1725 2009-05-13
1003053034 The Hope Center Clinic/Center 206 S 28th Ave, Hattiesburg, MS 39401-7154 2009-01-13
1710522842 Transforming Minds Therapeutic Counseling Services, LLC Clinic/Center 253 Richmond Pointe Way, Richland, MS 39218-6601 2019-11-13
1376010934 Pamela Giveans Np Pllc Clinic/Center 8990 Lorraine Rd, Gulfport, MS 39503-4176 2018-10-31
1083980684 Region Ten Commission On Mental Health Clinic/Center 1929 23rd Ave, Meridian, MS 39301-3108 2012-03-28
1003195967 Psycamore, LLC Clinic/Center 2620 Executive Pl, Biloxi, MS 39531-3717 2011-08-10
1154410017 Hattiesburg Clinic Pa Clinic/Center 2 Southern Pointe Parkway, Suite 200, Hattiesburg, MS 39402-2610 2006-10-11
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Competitor

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City BAY ST LOUIS
Zip Code 39520

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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