Provider Demographics
NPI:1851165856
Name:HEARTS AND MINDS PSYCHOLOGICAL SERVICES PLLC
Entity Type:Organization
Organization Name:HEARTS AND MINDS PSYCHOLOGICAL SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:AFRIECQ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-677-7687
Mailing Address - Street 1:207 CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:KILLEEN
Mailing Address - State:TX
Mailing Address - Zip Code:76542-2108
Mailing Address - Country:US
Mailing Address - Phone:570-677-7687
Mailing Address - Fax:
Practice Address - Street 1:207 CHRISTOPHER DR
Practice Address - Street 2:
Practice Address - City:KILLEEN
Practice Address - State:TX
Practice Address - Zip Code:76542-2108
Practice Address - Country:US
Practice Address - Phone:570-677-7687
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health