Provider Demographics
NPI:1043761562
Name:HAPPY MINDS LLC
Entity Type:Organization
Organization Name:HAPPY MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COACH AND COUNSELOR
Authorized Official - Prefix:PROF
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLENO
Authorized Official - Suffix:
Authorized Official - Credentials:BCC, LPCA
Authorized Official - Phone:704-460-8244
Mailing Address - Street 1:9221 ARBOURGATE MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-9074
Mailing Address - Country:US
Mailing Address - Phone:704-460-8244
Mailing Address - Fax:
Practice Address - Street 1:9221 ARBOURGATE MEADOWS LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-9074
Practice Address - Country:US
Practice Address - Phone:704-460-8244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-19
Last Update Date:2016-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCLPCA A 8418251S00000X
NCREGISTERED 2495251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health