Provider Demographics
NPI:1346828605
Name:CLOSED-MINDED INC
Entity Type:Organization
Organization Name:CLOSED-MINDED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:S
Authorized Official - Last Name:MAHER
Authorized Official - Suffix:
Authorized Official - Credentials:CCPA
Authorized Official - Phone:561-444-2351
Mailing Address - Street 1:6801 LAKE WORTH ROAD
Mailing Address - Street 2:SUITE 213-214
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467
Mailing Address - Country:US
Mailing Address - Phone:561-444-2351
Mailing Address - Fax:561-865-7841
Practice Address - Street 1:6801 LAKE WORTH ROAD
Practice Address - Street 2:SUITE 213-214
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467
Practice Address - Country:US
Practice Address - Phone:561-444-2351
Practice Address - Fax:561-865-7841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty