Provider Demographics
NPI:1306133491
Name:HAPPY MINDS
Entity type:Organization
Organization Name:HAPPY MINDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/COUNSELOR/LIFE COACH
Authorized Official - Prefix:
Authorized Official - First Name:LUCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GALLENO
Authorized Official - Suffix:
Authorized Official - Credentials:LPCA
Authorized Official - Phone:704-460-8244
Mailing Address - Street 1:9221 ARBOURGATE MEADOWS LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-9074
Mailing Address - Country:US
Mailing Address - Phone:704-460-8244
Mailing Address - Fax:
Practice Address - Street 1:9221 ARBOURGATE MEADOWS LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-9074
Practice Address - Country:US
Practice Address - Phone:704-460-8244
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-08
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QC1500X, 261QF0050X, 261QM0801X, 261QM0850X, 261QM1000X, 261QR0800X
NCA8418261QC1800X, 261QH0100X, 261QM0855X, 261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health
No261QM1000XAmbulatory Health Care FacilitiesClinic/CenterMigrant Health
No261QR0800XAmbulatory Health Care FacilitiesClinic/CenterRecovery Care