Provider Demographics
NPI:1457063265
Name:HEALTHY MIND COUNSELING PLLC
Entity type:Organization
Organization Name:HEALTHY MIND COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:MALGORZATA
Authorized Official - Middle Name:CUKIER
Authorized Official - Last Name:STANCHAK
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:252-573-1189
Mailing Address - Street 1:733 OCEAN HWY S
Mailing Address - Street 2:
Mailing Address - City:HERTFORD
Mailing Address - State:NC
Mailing Address - Zip Code:27944-1437
Mailing Address - Country:US
Mailing Address - Phone:252-573-1189
Mailing Address - Fax:
Practice Address - Street 1:733 OCEAN HWY S
Practice Address - Street 2:
Practice Address - City:HERTFORD
Practice Address - State:NC
Practice Address - Zip Code:27944-1437
Practice Address - Country:US
Practice Address - Phone:252-573-1189
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-23
Last Update Date:2022-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty