Provider Demographics
NPI:1114754249
Name:FINE MIND, LLC
Entity type:Organization
Organization Name:FINE MIND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:PICCOLOMINI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:724-880-4011
Mailing Address - Street 1:400 MOUNT LEBANON BLVD STE 400-A
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15234-1503
Mailing Address - Country:US
Mailing Address - Phone:724-880-4011
Mailing Address - Fax:
Practice Address - Street 1:400 MOUNT LEBANON BLVD STE 400-A
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1503
Practice Address - Country:US
Practice Address - Phone:724-880-4011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-13
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty