Provider Demographics
NPI:1982313847
Name:HEALTHY MIND COUNSELING LLC
Entity Type:Organization
Organization Name:HEALTHY MIND COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROFT
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:484-273-2335
Mailing Address - Street 1:105 PINE ST
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2508
Mailing Address - Country:US
Mailing Address - Phone:484-273-2335
Mailing Address - Fax:
Practice Address - Street 1:105 PINE ST
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2508
Practice Address - Country:US
Practice Address - Phone:484-273-2335
Practice Address - Fax:484-214-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty