Provider Demographics
NPI:1841983640
Name:MINDTUNES LLC
Entity type:Organization
Organization Name:MINDTUNES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REMBURSEMENT DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JAMILAH
Authorized Official - Middle Name:
Authorized Official - Last Name:NOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:484-466-1408
Mailing Address - Street 1:391 WILMINGTON PIKE STE 3112
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-1233
Mailing Address - Country:US
Mailing Address - Phone:484-989-9811
Mailing Address - Fax:
Practice Address - Street 1:322 S 56TH ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-1302
Practice Address - Country:US
Practice Address - Phone:484-989-9811
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health