Provider Demographics
NPI:1780475707
Name:A NURTURED HEARTS AND MINDS COUNSELING LLC
Entity type:Organization
Organization Name:A NURTURED HEARTS AND MINDS COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JAIMIE
Authorized Official - Middle Name:LORENA
Authorized Official - Last Name:HOLSTED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-416-9901
Mailing Address - Street 1:5707 CALBERT LN
Mailing Address - Street 2:
Mailing Address - City:FAIR GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65648-7863
Mailing Address - Country:US
Mailing Address - Phone:870-416-9901
Mailing Address - Fax:
Practice Address - Street 1:5707 CALBERT LN
Practice Address - Street 2:
Practice Address - City:FAIR GROVE
Practice Address - State:MO
Practice Address - Zip Code:65648-7863
Practice Address - Country:US
Practice Address - Phone:870-416-9901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty