Organization
LIFTED MINDS FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RIVIERA BASEY (CEO)
(804) 761-0772
Entity
Organization
Contact information
Practice address
3626 NORTH HALL STREET (TWO OAK LAWN), SUITE 610-N21, DALLAS, TX 75219
(469) 904-0042
(469) 904-0295
Mailing address
3626 NORTH HALL STREET (TWO OAK LAWN), SUITE 610-N21, DALLAS, TX 75219
(469) 904-0042
(469) 904-0295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/15/2026
Last updated
02/06/2026
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