Provider Demographics
NPI:1053802363
Name:INQUIRING MINDS BEHAVIORAL HEALTH & CONSULTING
Entity type:Organization
Organization Name:INQUIRING MINDS BEHAVIORAL HEALTH & CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEY
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:SR
Authorized Official - Credentials:DPC, LPC
Authorized Official - Phone:601-493-5485
Mailing Address - Street 1:316 NORTHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:VICKSBURG
Mailing Address - State:MS
Mailing Address - Zip Code:39180-8394
Mailing Address - Country:US
Mailing Address - Phone:601-493-5485
Mailing Address - Fax:
Practice Address - Street 1:100 CAMPBELL DR
Practice Address - Street 2:
Practice Address - City:FERRIDAY
Practice Address - State:LA
Practice Address - Zip Code:71334-3757
Practice Address - Country:US
Practice Address - Phone:601-493-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-22
Last Update Date:2018-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA6862101YM0800X
MS1951101YP2500X
LA6231101YP2500X
GA009599101YP2500X
GA1586605101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1356890586Medicaid