Mindset Adjusted Community Center

LBN: Mindset Adjusted Community Center
Mindset Adjusted Community Center is an health care organization with primary practice located at 110 Coliseum Xing # 5050 , Hampton VA 23666-5971. The organization recently has 11 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavior Technician, Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent, Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Mindset Adjusted Community Center can be contacted via phone (757) 778-9800, or through Broadus, Katesha Shanee via phone (757) 778-9800.

Contact Information

Primary practice address
110 Coliseum Xing # 5050 Hampton VA 23666-5971
Phone: (757) 778-9800
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Broadus, Katesha Shanee Licensed Clinical Social Worker (LCSW)
Phone: (757) 778-9800

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Nursing Service Providers / Psychiatric/Mental Health, Child & Adolescent 163WP0807X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1184373938
LBN Legal business name Mindset Adjusted Community Center
DBA Doing business as
Authorized official Broadus, Katesha Shanee Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 21st, 2022
Last updated Mar 21st, 2022 - about 3 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.

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