Organization
HEALTHY MIND SACRAMENTO PSYCHOLOGICAL SERVICES INC.
Active
Organization
HEALTHY MIND SACRAMENTO PSYCHOLOGICAL SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MILLER PHD (CEO)
(510) 356-8084
Entity
Organization
Contact information
Practice address
2620 J ST STE 15, SACRAMENTO, CA 95816-4381
(916) 694-2969
Mailing address
PO BOX 531, SACRAMENTO, CA 95812-0531
(916) 694-2969
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
08/26/2021
Last updated
08/26/2021
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