Healthcare Provider Details

I. General information

NPI: 1265194260
Provider Name (Legal Business Name): ALLMINDS HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 02/02/2022
Certification Date: 02/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6904 VILLAGE PKWY
DUBLIN CA
94568-2406
US

IV. Provider business mailing address

6904 VILLAGE PKWY
DUBLIN CA
94568-2406
US

V. Phone/Fax

Practice location:
  • Phone: 925-217-0313
  • Fax:
Mailing address:
  • Phone: 925-217-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TANGIA ELIEFF
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: LCSW
Phone: 925-217-0313