Organization · NPI-2
Free Your Mind Counseling, INC.
Clinic/Center, Mental Health (Including Community Mental Health Center) · Elkhart, IN
NPI number1770163164
StatusActive
Last updated in NPPESApr 10, 2021
Details
- NPI
- 1770163164
- Entity type
- Organization (NPI-2)
- Legal business name
- Free Your Mind Counseling, INC.
- Organization subpart
- No
- Enumeration date
- Apr 10, 2021
- Certification date
- Apr 10, 2021
- Last updated
- Apr 10, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – |
Practice location
22791 Juneberry CtElkhart, IN 46514-9152
Phone 574-400-5158 · Fax 574-701-2700
Mailing address
22791 Juneberry CtElkhart, IN 46514-9152
Phone 574-400-5158 · Fax 574-701-2700
Authorized official
Angela Patricia Garcia
Owner, President, Ceo
5744005158
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