MEDICARE: STRONG MINDS LLC

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	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1720731029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STRONG MINDS LLC

Provider Business Mailing Address
First Line	:	17 LIMESTONE DR
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8600
Country	:	US
Telephone Number	:	716-458-0031
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 LIMESTONE DR
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-8600
Country	:	US
Telephone Number	:	716-458-0031
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CYNTHIA SUSAN MILLER
Credential	:	PMHNP
Telephone Number	:	716-989-9656

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	04/20/2026

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Directions to “STRONG MINDS LLC ” Practice Location

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