Healthcare Provider Details

I. General information

NPI: 1114799053
Provider Name (Legal Business Name): TRUEMIND LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 11/02/2023
Certification Date: 11/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306A E 41ST ST
SAVANNAH GA
31401-9129
US

IV. Provider business mailing address

306A E 41ST ST
SAVANNAH GA
31401-9129
US

V. Phone/Fax

Practice location:
  • Phone: 843-247-3799
  • Fax:
Mailing address:
  • Phone: 843-247-3799
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: VIGINIA REEVES
Title or Position: MANAGER
Credential: LCSW
Phone: 843-247-3799