Provider Demographics
NPI:1013786987
Name:HEALTHY MIND FOUNDATION AFRICA LIMITED
Entity Type:Organization
Organization Name:HEALTHY MIND FOUNDATION AFRICA LIMITED
Other - Org Name:HEALTHY MIND FOUNDATION LIMITED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERALD
Authorized Official - Middle Name:GWAIN
Authorized Official - Last Name:CHIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-313-7283
Mailing Address - Street 1:8101 SANDY SPRING RD STE 300-W29
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-3596
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5505 1/2 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-4406
Practice Address - Country:US
Practice Address - Phone:443-927-6186
Practice Address - Fax:667-803-0305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-20
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty