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General NPI Number Information
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NPI Number | 1124548581
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Entity Type | Organization
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Legal Business Name | HEALTHYMINDS, INC.
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Dates
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Enumeration Date | 06/26/2017
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Last Update Date | 02/19/2025
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Provider Practice Location Address
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Address Line | 2801 BOULEVARD SUITE F
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834
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Country | US
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Telephone | 804-479-3515
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Fax | 804-898-3999
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Provider Business Mailing Address
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Address Line | 2801 BOULEVARD STE F
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City | COLONIAL HEIGHTS
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State | VA
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Zip | 23834-2323
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Country | US
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Telephone | 804-479-3515
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Fax | 804-898-3999
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHERIKA MONIQUE ALLEN
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Credential |
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Telephone | 804-479-3515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 323P00000X
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Taxonomy Name | Psychiatric Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 2710
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License Number State | VA
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