# CHANGING MINDS, LLC

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

## Provider details

- **NPI number:** 1295365922
- **Authorized official:** MRS. COLLEEN MCMAHON APRN (OWNER)
- **Authorized official phone:** (228) 463-2680

## Contact information

- **Practice address:** 835 HIGHWAY 90 STE 12, BAY ST LOUIS, MS 39520-1607
- **Practice address phone:** (228) 463-2680
- **Mailing address:** 835 HIGHWAY 90 STE 12, BAY ST LOUIS, MS 39520-1607
- **Mailing address phone:** (228) 463-2680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/22/2020
- **Last updated:** 01/22/2020
