Provider Demographics
NPI:1891362794
Name:DEVELOPING MINDS MENTAL HEALTH
Entity Type:Organization
Organization Name:DEVELOPING MINDS MENTAL HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILDREN AND FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:BRIANNA
Authorized Official - Middle Name:LEIGH
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:206-910-2133
Mailing Address - Street 1:909 23RD AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-3023
Mailing Address - Country:US
Mailing Address - Phone:206-910-2133
Mailing Address - Fax:
Practice Address - Street 1:909 23RD AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-3023
Practice Address - Country:US
Practice Address - Phone:206-910-2133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-08
Last Update Date:2021-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty