Organization
HEALING MINDS OUTREACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRODRICK WATERS (OWNER)
(941) 250-8643
Entity
Organization
Contact information
Practice address
12300 RESERVE MANOR CIR APT 202, CHESTER, VA 23831-3764
(941) 250-8643
Mailing address
12300 RESERVE MANOR CIR APT 202, CHESTER, VA 23831-3764
(941) 250-8643
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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