Provider Demographics
NPI:1497475016
Name:HEALTHY MINDS NETWORK, LLC
Entity Type:Organization
Organization Name:HEALTHY MINDS NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSCYHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:SERGINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CADET
Authorized Official - Suffix:
Authorized Official - Credentials:EDD, LCPC
Authorized Official - Phone:240-606-1912
Mailing Address - Street 1:15610 EVERGLADE LN APT 203
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3293
Mailing Address - Country:US
Mailing Address - Phone:240-606-1912
Mailing Address - Fax:
Practice Address - Street 1:15610 EVERGLADE LN APT 203
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-3293
Practice Address - Country:US
Practice Address - Phone:240-606-1912
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)