Provider Demographics
NPI:1306718937
Name:A QUIET MIND, LLC
Entity type:Organization
Organization Name:A QUIET MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PMHNP-BC
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRANDEBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:MSN, APRN, PMHNP-BC
Authorized Official - Phone:419-520-8973
Mailing Address - Street 1:515 UNION ST
Mailing Address - Street 2:
Mailing Address - City:CRESTLINE
Mailing Address - State:OH
Mailing Address - Zip Code:44827-1618
Mailing Address - Country:US
Mailing Address - Phone:419-520-8973
Mailing Address - Fax:419-405-4240
Practice Address - Street 1:515 UNION ST
Practice Address - Street 2:
Practice Address - City:CRESTLINE
Practice Address - State:OH
Practice Address - Zip Code:44827-1618
Practice Address - Country:US
Practice Address - Phone:419-520-8973
Practice Address - Fax:419-405-4240
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health