Provider Demographics
NPI:1275947277
Name:MIND-HEAD SOLUTIONS, LLC
Entity Type:Organization
Organization Name:MIND-HEAD SOLUTIONS, LLC
Other - Org Name:VERITY COUNSELING & FORENSIC EVALUATIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EKOM
Authorized Official - Middle Name:
Authorized Official - Last Name:ESSIEN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:404-563-0231
Mailing Address - Street 1:PO BOX 807
Mailing Address - Street 2:
Mailing Address - City:RED OAK
Mailing Address - State:GA
Mailing Address - Zip Code:30272-0807
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 LANIER AVE W STE 801
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7642
Practice Address - Country:US
Practice Address - Phone:404-563-0231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-17
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC007843101YM0800X, 101YP2500X, 251S00000X
GAPSY003775103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Multi-Specialty