Provider Demographics
NPI:1417637992
Name:HEALINGMINDS BODY AND SPIRITS COUNSELING
Entity Type:Organization
Organization Name:HEALINGMINDS BODY AND SPIRITS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELING
Authorized Official - Prefix:MS
Authorized Official - First Name:TRACY
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MS ALC
Authorized Official - Phone:133-372-8649
Mailing Address - Street 1:1367 COUNTY ROAD 1166
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36079-4407
Mailing Address - Country:US
Mailing Address - Phone:133-372-8649
Mailing Address - Fax:
Practice Address - Street 1:1367 COUNTY ROAD 1166
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36079-4407
Practice Address - Country:US
Practice Address - Phone:133-437-2864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-20
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251B00000XAgenciesCase Management
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No3245S0500XResidential Treatment FacilitiesSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, Children