Provider Demographics
NPI:1417324542
Name:MINDZ, INC.
Entity Type:Organization
Organization Name:MINDZ, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LINDSEY
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:TETEN
Authorized Official - Suffix:
Authorized Official - Credentials:APRN-NP
Authorized Official - Phone:402-713-0110
Mailing Address - Street 1:1120 6TH CORSO
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-2747
Mailing Address - Country:US
Mailing Address - Phone:402-713-0110
Mailing Address - Fax:
Practice Address - Street 1:1120 6TH CORSO
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-2747
Practice Address - Country:US
Practice Address - Phone:402-713-0110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-24
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE111682363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty