Healthcare Provider Details

I. General information

NPI: 1861321176
Provider Name (Legal Business Name): CHANGING MINDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

262 CHAPMAN RD STE 240
NEWARK DE
19702-5454
US

IV. Provider business mailing address

262 CHAPMAN RD STE 240
NEWARK DE
19702-5454
US

V. Phone/Fax

Practice location:
  • Phone: 302-660-6003
  • Fax:
Mailing address:
  • Phone: 302-660-6003
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YVONNE J OWENS
Title or Position: PHMNP-BC
Credential:
Phone: 302-660-6003