Organization
CHANGING MINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN MCMAHON APRN (OWNER)
(228) 463-2680
Entity
Organization
Contact information
Practice address
835 HIGHWAY 90 STE 12, BAY ST LOUIS, MS 39520-1607
(228) 463-2680
Mailing address
835 HIGHWAY 90 STE 12, BAY ST LOUIS, MS 39520-1607
(228) 463-2680
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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