Provider Demographics
NPI:1285495101
Name:HEALTHY MINDS THERAPY LLC
Entity type:Organization
Organization Name:HEALTHY MINDS THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:GABRIELA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUBER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:301-741-0807
Mailing Address - Street 1:5245 N VENTANA VISTA RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-7081
Mailing Address - Country:US
Mailing Address - Phone:301-741-0807
Mailing Address - Fax:
Practice Address - Street 1:5245 N VENTANA VISTA RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-7081
Practice Address - Country:US
Practice Address - Phone:301-741-0807
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty