Provider Demographics
NPI:1003695016
Name:RRB MIND SOULUTIONS, LLC
Entity Type:Organization
Organization Name:RRB MIND SOULUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:R
Authorized Official - Last Name:SLADKY
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:214-334-0029
Mailing Address - Street 1:1717 PLANTATION RD
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7251
Mailing Address - Country:US
Mailing Address - Phone:214-334-0029
Mailing Address - Fax:
Practice Address - Street 1:1717 PLANTATION RD
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-7251
Practice Address - Country:US
Practice Address - Phone:214-334-0029
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)