MEDICARE: BEHIND THE LATEST MINDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1134074669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEHIND THE LATEST MINDS

Provider Business Mailing Address
First Line	:	6 LANPHEAR ST
Second Line	:
City	:	WEST WARWICK
State	:	RI
Zip	:	02893-5636
Country	:	US
Telephone Number	:	508-974-9472
Fax Number	:

Provider Business Practice Location Address
First Line	:	6 LANPHEAR ST
Second Line	:
City	:	WEST WARWICK
State	:	RI
Zip	:	02893-5636
Country	:	US
Telephone Number	:	508-974-9472
Fax Number	:

Authorized Official
Title or Position	:	LICENSED THERAPIST & PRACTICE OWNER
Name	:	MAYA A WILLIAMS-BOND-JACKSON
Credential	:	LMHC
Telephone Number	:	508-974-7472

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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