Provider Demographics
NPI:1265232896
Name:INNER-MIND THERAPEUTICS, LLC
Entity type:Organization
Organization Name:INNER-MIND THERAPEUTICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:CAROLINA
Authorized Official - Last Name:SMITH - LAMPREA
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCPC, NCC
Authorized Official - Phone:406-451-3875
Mailing Address - Street 1:PO BOX 52
Mailing Address - Street 2:
Mailing Address - City:WHITEHALL
Mailing Address - State:MT
Mailing Address - Zip Code:59759-0052
Mailing Address - Country:US
Mailing Address - Phone:406-451-3875
Mailing Address - Fax:
Practice Address - Street 1:26 PIPESTONE RD
Practice Address - Street 2:
Practice Address - City:WHITEHALL
Practice Address - State:MT
Practice Address - Zip Code:59759-9763
Practice Address - Country:US
Practice Address - Phone:406-451-3875
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-13
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty