# HEALING MINDS PSYCHIATRY, LLC

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

## Provider details

- **NPI number:** 1477136513
- **Authorized official:** LISA MARIE DEJESUS PMHNP (PROVIDER)
- **Authorized official phone:** (774) 300-3444

## Contact information

- **Practice address:** 301 STATE AVE, TIVERTON, RI 02878-1062
- **Practice address phone:** (774) 300-3444
- **Practice address fax:** (774) 307-9039
- **Mailing address:** 301 STATE AVE, TIVERTON, RI 02878-1062
- **Mailing address phone:** (774) 300-3444
- **Mailing address fax:** (774) 307-9039

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | NULL | — |
| 364SP0808X | Psychiatric/Mental Health Clinical Nurse Specialist | — | — | — |

## Other

- **Enumeration date:** 05/05/2021
- **Last updated:** 02/07/2024