Provider Demographics
NPI:1477383875
Name:STABLE MINDS COUNSELING, LLC
Entity type:Organization
Organization Name:STABLE MINDS COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:R
Authorized Official - Last Name:DIEDERICH
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:620-282-1902
Mailing Address - Street 1:385 GOLTL ST
Mailing Address - Street 2:
Mailing Address - City:LUDELL
Mailing Address - State:KS
Mailing Address - Zip Code:67744-4275
Mailing Address - Country:US
Mailing Address - Phone:620-282-1902
Mailing Address - Fax:
Practice Address - Street 1:104 S 4TH ST
Practice Address - Street 2:
Practice Address - City:ATWOOD
Practice Address - State:KS
Practice Address - Zip Code:67730-1922
Practice Address - Country:US
Practice Address - Phone:620-282-1902
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2025-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty