Provider Demographics
NPI:1114689627
Name:GREATER MINDS OF AMERICA, LLC
Entity Type:Organization
Organization Name:GREATER MINDS OF AMERICA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHKEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP-BC
Authorized Official - Phone:706-286-6889
Mailing Address - Street 1:148 BEAUMONT WAY
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:GA
Mailing Address - Zip Code:30228-3790
Mailing Address - Country:US
Mailing Address - Phone:706-286-6889
Mailing Address - Fax:
Practice Address - Street 1:1700 PENNSYLVANIA AVE STE 206
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-9115
Practice Address - Country:US
Practice Address - Phone:706-286-6889
Practice Address - Fax:833-944-2501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-12
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)