Provider Demographics
NPI:1215808670
Name:MINDSET HEALTH LLC
Entity type:Organization
Organization Name:MINDSET HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MBR
Authorized Official - Prefix:
Authorized Official - First Name:SYDNI
Authorized Official - Middle Name:
Authorized Official - Last Name:CARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSN,APRN,PMHNP-BC
Authorized Official - Phone:662-207-8217
Mailing Address - Street 1:22 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:INDIANOLA
Mailing Address - State:MS
Mailing Address - Zip Code:38751-2018
Mailing Address - Country:US
Mailing Address - Phone:662-207-8217
Mailing Address - Fax:
Practice Address - Street 1:22 MORNINGSIDE DR
Practice Address - Street 2:
Practice Address - City:INDIANOLA
Practice Address - State:MS
Practice Address - Zip Code:38751-2018
Practice Address - Country:US
Practice Address - Phone:662-207-8217
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-17
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty