Provider Demographics
NPI:1952862039
Name:MIND IN HARMONY CONSULTANTS INSTITUTE LLC
Entity Type:Organization
Organization Name:MIND IN HARMONY CONSULTANTS INSTITUTE LLC
Other - Org Name:ANGELICA M GUZMNA
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELICA
Authorized Official - Middle Name:MARIANA
Authorized Official - Last Name:GUZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:210-992-1071
Mailing Address - Street 1:9823 KREMMEN PL
Mailing Address - Street 2:
Mailing Address - City:BOERNE
Mailing Address - State:TX
Mailing Address - Zip Code:78006-5394
Mailing Address - Country:US
Mailing Address - Phone:210-992-1071
Mailing Address - Fax:877-810-7809
Practice Address - Street 1:801 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOERNE
Practice Address - State:TX
Practice Address - Zip Code:78006-1625
Practice Address - Country:US
Practice Address - Phone:210-992-1071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-29
Last Update Date:2021-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX330160802Medicaid