Healthy Minds

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5905 Issued in LA

Legal business name

HEALTHY MINDS

Practice address

209 W Jefferson Ave
Bastrop, LA 71220-4543

Phone

(318) 239-3890

Fax

(318) 239-3891

NPI assigned

Aug 5, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Angela Nichols, PHD

Title

Program Director

Phone

(318) 239-3890

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1922484500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W JEFFERSON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204543",
            "telephone_number": "318-239-3890",
            "fax_number": "318-239-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W JEFFERSON AVE",
            "city": "BASTROP",
            "state": "LA",
            "postal_code": "712204543",
            "telephone_number": "318-239-3890",
            "fax_number": "318-239-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY MINDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "318-239-3890",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "5905",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "5132",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latonya Hawkins
• Tamatha Yvette Hawkins, NP
• Randle B Hawthorne, D.C.
• Kristal Atkins Hayman, LPC-S, NCC
• Healthy Minds
• Heavenly Medical Supply
• Shelby A Hebert, PHARM. D.
• Henderson Chiropractic Apc
• Alvin Allen Henderson, DC
• Dominique Henderson

• Community/Behavioral Health Agency in Bastrop, LA
• Providers in Bastrop, LA by specialty
• Community/Behavioral Health Agency in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.