Provider Demographics
NPI:1619721230
Name:THE PREMIER MIND, PLLC
Entity Type:Organization
Organization Name:THE PREMIER MIND, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:FRENCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:720-986-4321
Mailing Address - Street 1:6767 S VINE ST # 1239
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-3171
Mailing Address - Country:US
Mailing Address - Phone:720-986-4321
Mailing Address - Fax:720-405-4430
Practice Address - Street 1:4811 S NIAGARA ST UNIT 147
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80237-3619
Practice Address - Country:US
Practice Address - Phone:413-205-8665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-11
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)