Provider Demographics
NPI:1215729173
Name:HEALING MINDS HEALTH CENTER LLC
Entity type:Organization
Organization Name:HEALING MINDS HEALTH CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOESPH
Authorized Official - Middle Name:
Authorized Official - Last Name:MASTRANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-445-2008
Mailing Address - Street 1:2514 S 24TH ST FL 1
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19145-4109
Mailing Address - Country:US
Mailing Address - Phone:215-445-2008
Mailing Address - Fax:215-694-8802
Practice Address - Street 1:2514 S 24TH ST FL 1
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19145-4109
Practice Address - Country:US
Practice Address - Phone:215-445-2008
Practice Address - Fax:215-694-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty