Provider Demographics
NPI:1659177608
Name:HEALTHY YOUNG MINDS 2 LLC
Entity type:Organization
Organization Name:HEALTHY YOUNG MINDS 2 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-523-5264
Mailing Address - Street 1:PO BOX 6080
Mailing Address - Street 2:
Mailing Address - City:VAIL
Mailing Address - State:CO
Mailing Address - Zip Code:81658-6080
Mailing Address - Country:US
Mailing Address - Phone:646-523-5264
Mailing Address - Fax:800-878-7002
Practice Address - Street 1:210 EDWARDS VILLAGE BLVD # D208D209
Practice Address - Street 2:
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632-5277
Practice Address - Country:US
Practice Address - Phone:303-317-6504
Practice Address - Fax:800-878-7002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral PediatricsGroup - Single Specialty