Provider Demographics
NPI:1649706094
Name:MINDSET MATTERS CONSULTING & EDUCATION LLC
Entity type:Organization
Organization Name:MINDSET MATTERS CONSULTING & EDUCATION LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OUTREACH EDUCATOR
Authorized Official - Prefix:
Authorized Official - First Name:LORENE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIER PURCY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-405-9670
Mailing Address - Street 1:200 S CROWLEY RD
Mailing Address - Street 2:SUITE 285
Mailing Address - City:CROWLEY
Mailing Address - State:TX
Mailing Address - Zip Code:76036-3251
Mailing Address - Country:US
Mailing Address - Phone:817-405-9670
Mailing Address - Fax:
Practice Address - Street 1:797 KEEL LINE DR
Practice Address - Street 2:
Practice Address - City:CROWLEY
Practice Address - State:TX
Practice Address - Zip Code:76036-3452
Practice Address - Country:US
Practice Address - Phone:817-405-9670
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2017-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty