Provider Demographics
NPI:1417681800
Name:MEANINGFUL MINDS THERAPEUTIC SERVICES LLC
Entity Type:Organization
Organization Name:MEANINGFUL MINDS THERAPEUTIC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAHNEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:KEATZ
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW
Authorized Official - Phone:410-215-3602
Mailing Address - Street 1:606 EDMONDSON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-3352
Mailing Address - Country:US
Mailing Address - Phone:410-304-7574
Mailing Address - Fax:
Practice Address - Street 1:606 EDMONDSON AVE STE 201
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-3352
Practice Address - Country:US
Practice Address - Phone:410-215-3602
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-12
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder