Mending Minds Behavioral Health, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MENDING MINDS BEHAVIORAL HEALTH, LLC

Doing business as

Mending Minds Behavioral Health, LLC

Practice address

37112 Cobblestone Ave
Geismar, LA 70734-3260

Phone

(225) 978-4578

NPI assigned

Mar 16, 2022

Last updated

Mar 16, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Demeka Underwood, APRNNPI 1821481516

Title

Ceo

Phone

(225) 978-4578

Specialties & licenses 1

Addresses

Other names 1

• Mending Minds Behavioral Health, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Demeka Underwood, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Covington, LA
  • NPI 1821481516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1647388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647388800000",
    "number": "1922756287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37112 COBBLESTONE AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343260",
            "telephone_number": "225-978-4578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37112 COBBLESTONE AVE",
            "city": "GEISMAR",
            "state": "LA",
            "postal_code": "707343260",
            "telephone_number": "225-978-4578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8542 Siegen Ln",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708101940",
            "country_code": "US",
            "telephone_number": "225-978-4578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MENDING MINDS BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-16",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "DEMEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-978-4578",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mending Minds Behavioral Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leo Paul Leblanc III, PHARMD
• Tina Leslie-Watson, FNP-C
• Louisiana Internal Medicine Associates, LLC
• Tammi E Marshall, CCC-SLP
• Elizabeth Nance Melancon, MSN, FNP-C
• Hisham Nazir Mohamed, PTA
• Kent McKowen Morris
• Han Ngoc Nguyen, RPH
• Quoc Bao Paul Nguyen, DDS
• Bridget Anne Octave

• Psychiatric/Mental Health Nurse Practitioner in Geismar, LA
• Providers in Geismar, LA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.