Provider Demographics
NPI:1790360345
Name:MINDSET 2 WELLNESS LLC
Entity Type:Organization
Organization Name:MINDSET 2 WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LYNETTE
Authorized Official - Middle Name:CULA
Authorized Official - Last Name:CARTE
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:304-374-1289
Mailing Address - Street 1:279 BELL BLVD
Mailing Address - Street 2:
Mailing Address - City:WEIRTON
Mailing Address - State:WV
Mailing Address - Zip Code:26062-3351
Mailing Address - Country:US
Mailing Address - Phone:304-374-1289
Mailing Address - Fax:
Practice Address - Street 1:1400 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOLLANSBEE
Practice Address - State:WV
Practice Address - Zip Code:26037-1218
Practice Address - Country:US
Practice Address - Phone:304-374-1289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty