Provider Demographics
NPI:1699546580
Name:RIPE MINDS, LLC
Entity type:Organization
Organization Name:RIPE MINDS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-444-7473
Mailing Address - Street 1:365 LITTLE BEND TRCE
Mailing Address - Street 2:
Mailing Address - City:SHEPHERDSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40165-6377
Mailing Address - Country:US
Mailing Address - Phone:502-444-7473
Mailing Address - Fax:502-669-8955
Practice Address - Street 1:365 LITTLE BEND TRCE
Practice Address - Street 2:
Practice Address - City:SHEPHERDSVILLE
Practice Address - State:KY
Practice Address - Zip Code:40165-6377
Practice Address - Country:US
Practice Address - Phone:502-444-7473
Practice Address - Fax:502-669-8955
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty