Provider Demographics
NPI:1194182147
Name:DEVELOPING MINDS, PLLC
Entity Type:Organization
Organization Name:DEVELOPING MINDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RUMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAVKOV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:805-444-6559
Mailing Address - Street 1:19515 N CREEK PKWY
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-8200
Mailing Address - Country:US
Mailing Address - Phone:805-444-6559
Mailing Address - Fax:
Practice Address - Street 1:19515 N CREEK PKWY
Practice Address - Street 2:SUITE 208
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-8200
Practice Address - Country:US
Practice Address - Phone:805-444-6559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health