Provider Demographics
NPI:1235839614
Name:MINDSET RESOLUTIONS
Entity Type:Organization
Organization Name:MINDSET RESOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PRECIOUS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-224-1552
Mailing Address - Street 1:4602 DOVE LAKE CT
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40299-8342
Mailing Address - Country:US
Mailing Address - Phone:502-224-1552
Mailing Address - Fax:
Practice Address - Street 1:609 W MAIN ST STE 305
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-2951
Practice Address - Country:US
Practice Address - Phone:502-631-8015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty