# A HEALTHY MIND MENTAL HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083261887
- **Authorized official:** WAKANDA MASON (PSYCHIATRIC MENTAL HEALTH NURSE PRA)
- **Authorized official phone:** (318) 299-2950

## Contact information

- **Practice address:** 1450B PETERMAN DR, ALEXANDRIA, LA 71301-3432
- **Practice address phone:** (318) 299-2950
- **Practice address fax:** (318) 708-1015
- **Mailing address:** PO BOX 3352, PINEVILLE, LA 71361-3352
- **Mailing address phone:** (318) 299-2950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/26/2019
- **Last updated:** 09/01/2022