Provider Demographics
NPI:1992503544
Name:MINDCARE SOLUTIONS PC
Entity type:Organization
Organization Name:MINDCARE SOLUTIONS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR VP OF REVENUE OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NICHOLS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-319-4240
Mailing Address - Street 1:3102 W END AVE STE 1150
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1614
Mailing Address - Country:US
Mailing Address - Phone:330-319-4240
Mailing Address - Fax:
Practice Address - Street 1:4414 PHEASANT RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24014-5276
Practice Address - Country:US
Practice Address - Phone:330-319-4240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-07
Last Update Date:2025-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty