Organization
HEALTHY MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUETTE JACOBS LCPC (FOUNDER/OWNER)
(240) 468-8476
Entity
Organization
Contact information
Practice address
9114 PHILADELPHIA RD STE 106, ROSEDALE, MD 21237-4346
(240) 443-8255
Mailing address
2919 CUB HILL RD, PARKVILLE, MD 21234-1126
(240) 468-8476
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/13/2020
Last updated
08/24/2022
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