Provider Demographics
NPI:1407551526
Name:GOOD MINDSET COUSNELING SERVICES
Entity Type:Organization
Organization Name:GOOD MINDSET COUSNELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:CANTRELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRANE
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:803-374-2438
Mailing Address - Street 1:3850 APPALOOSA RDG
Mailing Address - Street 2:
Mailing Address - City:RICHBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29729-9111
Mailing Address - Country:US
Mailing Address - Phone:803-374-2438
Mailing Address - Fax:
Practice Address - Street 1:3850 APPALOOSA RDG
Practice Address - Street 2:
Practice Address - City:RICHBURG
Practice Address - State:SC
Practice Address - Zip Code:29729-9111
Practice Address - Country:US
Practice Address - Phone:803-374-2438
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty