Provider Demographics
NPI:1942957808
Name:GOOD MINDS, LLC
Entity Type:Organization
Organization Name:GOOD MINDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:QUEEN
Authorized Official - Middle Name:ADERINOLA
Authorized Official - Last Name:IDOWU
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:281-783-6911
Mailing Address - Street 1:8215 HAWTHORN VALLEY LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77095-1469
Mailing Address - Country:US
Mailing Address - Phone:281-783-6911
Mailing Address - Fax:281-789-8233
Practice Address - Street 1:8215 HAWTHORN VALLEY LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77095-1469
Practice Address - Country:US
Practice Address - Phone:281-783-6911
Practice Address - Fax:281-789-8233
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)