# MENDING MINDS BEHAVIORAL HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mending Minds Behavioral Health, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922756287
- **Authorized official:** DEMEKA UNDERWOOD APRN (CEO)
- **Authorized official phone:** (225) 978-4578

## Contact information

- **Practice address:** 37112 COBBLESTONE AVE, GEISMAR, LA 70734-3260
- **Practice address phone:** (225) 978-4578
- **Mailing address:** 37112 COBBLESTONE AVE, GEISMAR, LA 70734-3260
- **Mailing address phone:** (225) 978-4578

## 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:** 03/16/2022
- **Last updated:** 03/16/2022