Provider Demographics
NPI:1609769017
Name:HEALTHY MINDS BH LLC
Entity type:Organization
Organization Name:HEALTHY MINDS BH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARYN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEILER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:847-212-3570
Mailing Address - Street 1:1117 S MILWAUKEE AVE STE B14
Mailing Address - Street 2:
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-5258
Mailing Address - Country:US
Mailing Address - Phone:847-212-3570
Mailing Address - Fax:815-717-6277
Practice Address - Street 1:1117 S MILWAUKEE AVE STE B14
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-5258
Practice Address - Country:US
Practice Address - Phone:847-212-3570
Practice Address - Fax:815-717-6277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-03
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty