Provider Demographics
NPI:1013708197
Name:ONE HEART ONE MIND CLINIC LLC
Entity type:Organization
Organization Name:ONE HEART ONE MIND CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEE
Authorized Official - Middle Name:
Authorized Official - Last Name:SOWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-437-5514
Mailing Address - Street 1:433 LAKE DR
Mailing Address - Street 2:
Mailing Address - City:RUCKERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22968-3195
Mailing Address - Country:US
Mailing Address - Phone:434-437-5514
Mailing Address - Fax:434-437-5514
Practice Address - Street 1:969 2ND ST SE
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22902-6172
Practice Address - Country:US
Practice Address - Phone:434-437-5514
Practice Address - Fax:434-437-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty