Provider Demographics
NPI:1356100655
Name:OPEN MIND WELLNESS
Entity type:Organization
Organization Name:OPEN MIND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEVES
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:214-918-4243
Mailing Address - Street 1:850 HURRICANE CREEK CIR
Mailing Address - Street 2:
Mailing Address - City:ANNA
Mailing Address - State:TX
Mailing Address - Zip Code:75409-3412
Mailing Address - Country:US
Mailing Address - Phone:214-918-4243
Mailing Address - Fax:
Practice Address - Street 1:850 HURRICANE CREEK CIR
Practice Address - Street 2:
Practice Address - City:ANNA
Practice Address - State:TX
Practice Address - Zip Code:75409-3412
Practice Address - Country:US
Practice Address - Phone:214-918-4243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health