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Organization
HEALING MINDS COMMUNITY SUPPORT LLC
Active
Organization
HEALING MINDS COMMUNITY SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA P RICHARDSON (OWNER)
(276) 790-9797
Entity
Organization
Contact information
Practice address
1007 ROUNDABOUT RD, MARTINSVILLE, VA 24112-3439
(276) 790-9797
Mailing address
1007 ROUNDABOUT RD, MARTINSVILLE, VA 24112-3439
(276) 790-9797
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
101YS0200X
School Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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