Organization
HEALTHYMINDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW DAVID PETERSON MS, LMFT (PRESIDENT AND CHIEF EXECUTIVE OFFIC)
(608) 239-8807
Entity
Organization
Contact information
Practice address
2909 LANDMARK PL STE 210, MADISON, WI 53713-4200
(608) 239-8807
Mailing address
2909 LANDMARK PL STE 210, MADISON, WI 53713-4200
(608) 239-8807
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
834-124
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100007732
—
WI
Enumeration date
08/15/2018
Last updated
05/29/2025
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