Provider Demographics
NPI:1679324024
Name:HEALTHY MINDS KC, LLC
Entity type:Organization
Organization Name:HEALTHY MINDS KC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LSCSW
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:
Authorized Official - Last Name:PICKERING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-210-0466
Mailing Address - Street 1:805 TAM OSHANTER DR
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64145-1243
Mailing Address - Country:US
Mailing Address - Phone:913-210-0466
Mailing Address - Fax:
Practice Address - Street 1:8400 W 110TH ST STE 110
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66210-2307
Practice Address - Country:US
Practice Address - Phone:913-210-0466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-01
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty