Provider Demographics
NPI:1649164765
Name:MERGEMINDS LLC
Entity type:Organization
Organization Name:MERGEMINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPANY OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MINA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:VAHDATI
Authorized Official - Suffix:
Authorized Official - Credentials:BCBA, LBA
Authorized Official - Phone:571-201-0516
Mailing Address - Street 1:8189 PEGGYS CT
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20155-2922
Mailing Address - Country:US
Mailing Address - Phone:571-201-0516
Mailing Address - Fax:
Practice Address - Street 1:8189 PEGGYS CT
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:VA
Practice Address - Zip Code:20155-2922
Practice Address - Country:US
Practice Address - Phone:571-201-0516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health