Provider Demographics
NPI:1568114270
Name:A BETTER MINDSET MENTAL HEALTH LLC
Entity Type:Organization
Organization Name:A BETTER MINDSET MENTAL HEALTH LLC
Other - Org Name:TAMIEKA BUGAM
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:TAMIEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:BUGAM
Authorized Official - Suffix:
Authorized Official - Credentials:DNP APRN FNP-C PMHNP
Authorized Official - Phone:732-307-9644
Mailing Address - Street 1:5673 N DUPONT HWY
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-2602
Mailing Address - Country:US
Mailing Address - Phone:732-307-9644
Mailing Address - Fax:732-520-3176
Practice Address - Street 1:5673 N DUPONT HWY
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-2602
Practice Address - Country:US
Practice Address - Phone:732-307-9644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-24
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1730559766OtherNPI