# KIND MINDS EARLY INTERVENTION SERVICES, LLC

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

## Provider details

- **NPI number:** 1790534204
- **Authorized official:** MISS KAYLA HERREN MA, BCBA (CEO/BCBA)
- **Authorized official phone:** (404) 242-9210

## Contact information

- **Practice address:** 3257 BLUE JASMINE LN, DACULA, GA 30019-3339
- **Practice address phone:** (404) 242-9210
- **Mailing address:** 3257 BLUE JASMINE LN, DACULA, GA 30019-3339
- **Mailing address phone:** (404) 242-9210

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/16/2024
- **Last updated:** 10/03/2024