Organization
OPEN MIND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL WHITLOW LCSW (OWNER/EMPLOYEE)
(574) 210-0771
Entity
Organization
Contact information
Practice address
222 S FRANCES ST, SOUTH BEND, IN 46617-3004
(574) 210-0771
(574) 314-6486
Mailing address
222 S FRANCES ST, SOUTH BEND, IN 46617-3004
(574) 210-0771
(574) 314-6486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
01/17/2022
Last updated
01/17/2022
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