Provider Demographics
NPI:1306462866
Name:MATTER OF MINDS HEALTH & WELLNESS
Entity type:Organization
Organization Name:MATTER OF MINDS HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:BEY
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LBS
Authorized Official - Phone:610-324-1275
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:TOWNSEND
Mailing Address - State:DE
Mailing Address - Zip Code:19734-0352
Mailing Address - Country:US
Mailing Address - Phone:610-637-4686
Mailing Address - Fax:
Practice Address - Street 1:225 WILMINGTON W CHESTER PIKE STE 200
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9011
Practice Address - Country:US
Practice Address - Phone:610-324-1275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-22
Last Update Date:2021-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health