Healthcare Provider Details

I. General information

NPI: 1689597601
Provider Name (Legal Business Name): NURTURING HEALTHY MINDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2026
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10057 EL CAPITAN WAY
KELSEYVILLE CA
95451-9635
US

IV. Provider business mailing address

10057 EL CAPITAN WAY
KELSEYVILLE CA
95451-9635
US

V. Phone/Fax

Practice location:
  • Phone: 707-349-3591
  • Fax:
Mailing address:
  • Phone: 707-349-3591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CAROLINA PIMENTA
Title or Position: LCSW
Credential:
Phone: 707-349-3591