Organization
HEALTHY MINDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AHMAD BLAKENEY (OWNER)
(704) 201-8038
Entity
Organization
Contact information
Practice address
4401 E INDEPENDENCE BLVD STE 208G, CHARLOTTE, NC 28205-7485
(704) 201-8038
Mailing address
4401 E INDEPENDENCE BLVD STE 208G, CHARLOTTE, NC 28205-7485
(704) 201-8038
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
163WP0808X
Psychiatric/Mental Health Registered Nurse
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
01/18/2021
Last updated
08/07/2025
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