| Changing Minds, Llc | |
|
835 Highway 90 Ste 12 Bay St Louis MS 39520-1607 | |
| (228) 463-2680 | |
| Not Available |
| Full Name | Changing Minds, Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 835 Highway 90 Ste 12, Bay St Louis, Mississippi |
| Authorized Official Name and Position | Colleen Mcmahon (OWNER) |
| Authorized Official Contact | 2284632680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Changing Minds, Llc 835 Highway 90 Ste 12 Bay St Louis MS 39520-1607 Ph: (228) 463-2680 | Changing Minds, Llc 835 Highway 90 Ste 12 Bay St Louis MS 39520-1607 Ph: (228) 463-2680 |
| NPI Number | 1295365922 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 01/22/2020 |
| Certification Date | 01/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295365922 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Ethel W Hetrick Phd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 412 Highway 90, Suite 10, Bay St Louis, MS 39520 Phone: 228-467-2424 Fax: 228-467-5757 |