Provider Demographics
NPI:1699196006
Name:KIDS IN MIND
Entity Type:Organization
Organization Name:KIDS IN MIND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:LOGSDON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-230-2800
Mailing Address - Street 1:220 SUNBEAM RD APT 7
Mailing Address - Street 2:
Mailing Address - City:LEITCHFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42754-2308
Mailing Address - Country:US
Mailing Address - Phone:270-230-2800
Mailing Address - Fax:270-971-1372
Practice Address - Street 1:220 SUNBEAM RD APT 7
Practice Address - Street 2:
Practice Address - City:LEITCHFIELD
Practice Address - State:KY
Practice Address - Zip Code:42754-2308
Practice Address - Country:US
Practice Address - Phone:270-230-2800
Practice Address - Fax:270-971-1372
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-02
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY201093376252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency