Evolving Mind Solutions, Llc
LBN: Evolving Mind Solutions, Llc
Evolving Mind Solutions, Llc is an health care organization with primary practice located at 4200 S Hulen St Ste 668 , Fort Worth TX 76109-4997. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adult Mental Health is the primary health care specialty.
Evolving Mind Solutions, Llc can be contacted via phone (817) 203-4779, or through Wellborn, Sarah Ryan via phone (817) 217-8444.
Contact Information
Primary practice address
4200 S Hulen St Ste 668
Fort Worth TX 76109-4997
Phone: (817) 203-4779
Fax:
Website:
Authorized official contact:
Name: Wellborn, Sarah Ryan Licensed Clinical Social Worker (LCSW)
Phone: (817) 217-8444
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adult Mental Health | 261QM0850X | ||
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1326681354 |
|---|---|
| LBN Legal business name | Evolving Mind Solutions, Llc |
| DBA Doing business as | |
| Authorized official | Wellborn, Sarah Ryan Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2019 |
| Last updated | Jul 10th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326681354 | NPPES |
| Other | 1225577471 | TYPE 1 NPI |
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