Provider Demographics
NPI:1487301388
Name:CHANGING MINDS LLC
Entity type:Organization
Organization Name:CHANGING MINDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LISW
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RINEHART
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S
Authorized Official - Phone:740-683-8348
Mailing Address - Street 1:5435 CENTER RD
Mailing Address - Street 2:
Mailing Address - City:PHILO
Mailing Address - State:OH
Mailing Address - Zip Code:43771-9780
Mailing Address - Country:US
Mailing Address - Phone:740-683-8348
Mailing Address - Fax:
Practice Address - Street 1:5435 CENTER RD
Practice Address - Street 2:
Practice Address - City:PHILO
Practice Address - State:OH
Practice Address - Zip Code:43771-9780
Practice Address - Country:US
Practice Address - Phone:174-068-3834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-10
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty