Provider Demographics
NPI:1326238726
Name:MIND-SET SOLUTIONS
Entity Type:Organization
Organization Name:MIND-SET SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:D
Authorized Official - Last Name:BASS
Authorized Official - Suffix:SR
Authorized Official - Credentials:MED
Authorized Official - Phone:636-946-4615
Mailing Address - Street 1:3551 VETERANS MEMORIAL PKWY
Mailing Address - Street 2:104
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-1123
Mailing Address - Country:US
Mailing Address - Phone:636-946-4615
Mailing Address - Fax:636-946-4615
Practice Address - Street 1:3551 VETERANS MEMORIAL PKWY
Practice Address - Street 2:104
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-1123
Practice Address - Country:US
Practice Address - Phone:636-946-4615
Practice Address - Fax:636-946-4615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health