Provider Demographics
NPI:1780399204
Name:MINDS UNLTD LLC
Entity type:Organization
Organization Name:MINDS UNLTD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JARHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:937-424-7335
Mailing Address - Street 1:PO BOX 340147
Mailing Address - Street 2:3541 DAYTON XENIA RD
Mailing Address - City:BEAVERCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:45432-2130
Mailing Address - Country:US
Mailing Address - Phone:937-424-7335
Mailing Address - Fax:
Practice Address - Street 1:3055 RODENBECK DR STE 4A
Practice Address - Street 2:
Practice Address - City:BEAVERCREEK
Practice Address - State:OH
Practice Address - Zip Code:45432-2662
Practice Address - Country:US
Practice Address - Phone:937-424-7335
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty