Provider Demographics
NPI:1669108346
Name:CARE OF THE MIND, LLC
Entity type:Organization
Organization Name:CARE OF THE MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORGANIZER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUNG
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:678-561-7417
Mailing Address - Street 1:11585 JONES BRIDGE RD STE. 420, PMB 1168
Mailing Address - Street 2:
Mailing Address - City:JOHNS CREEK
Mailing Address - State:GA
Mailing Address - Zip Code:30022-7476
Mailing Address - Country:US
Mailing Address - Phone:678-561-7417
Mailing Address - Fax:
Practice Address - Street 1:10945 STATE BRIDGE RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022
Practice Address - Country:US
Practice Address - Phone:678-561-7417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-26
Last Update Date:2022-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty