Provider Demographics
NPI:1306713243
Name:INCLUSIVE MINDS FOUNDATION CO
Entity type:Organization
Organization Name:INCLUSIVE MINDS FOUNDATION CO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAHIMEH
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDALIBIAN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:929-564-3880
Mailing Address - Street 1:700 SMITH STREET #61070
Mailing Address - Street 2:SMB#72016
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-2714
Mailing Address - Country:US
Mailing Address - Phone:929-564-3880
Mailing Address - Fax:
Practice Address - Street 1:254 COMMERCIAL ST STE 245B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4664
Practice Address - Country:US
Practice Address - Phone:929-564-3880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty