Provider Demographics
NPI:1891867313
Name:VISIONARY MINDS INC.
Entity Type:Organization
Organization Name:VISIONARY MINDS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALDUAN
Authorized Official - Middle Name:RABZE
Authorized Official - Last Name:TARTT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:404-377-4757
Mailing Address - Street 1:315 W PONCE DE LEON AVE STE 525
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-2486
Mailing Address - Country:US
Mailing Address - Phone:404-377-4757
Mailing Address - Fax:404-370-8751
Practice Address - Street 1:315 W PONCE DE LEON AVE.,
Practice Address - Street 2:STE 525
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-2486
Practice Address - Country:US
Practice Address - Phone:404-377-4757
Practice Address - Fax:404-370-8751
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA002535103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty