Provider Demographics
NPI:1467801639
Name:COUNSELING FOR THE HEALING MIND
Entity Type:Organization
Organization Name:COUNSELING FOR THE HEALING MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MESSINA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:724-301-0311
Mailing Address - Street 1:7837 VENTURE CENTER WAY
Mailing Address - Street 2:APT 5212
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437-7414
Mailing Address - Country:US
Mailing Address - Phone:724-301-0311
Mailing Address - Fax:
Practice Address - Street 1:2240 W WOOLBRIGHT RD
Practice Address - Street 2:SUITE 351
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6332
Practice Address - Country:US
Practice Address - Phone:724-301-0311
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-08
Last Update Date:2016-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW125541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty