Provider Demographics
NPI:1417714429
Name:NEW MIND THERAPY PLLC
Entity Type:Organization
Organization Name:NEW MIND THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:360-927-6568
Mailing Address - Street 1:1201 11TH ST STE 201C
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-7065
Mailing Address - Country:US
Mailing Address - Phone:360-927-6568
Mailing Address - Fax:
Practice Address - Street 1:1201 11TH ST STE 201C
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-7065
Practice Address - Country:US
Practice Address - Phone:360-927-6568
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty