MIND FITNESS CENTER NPI 1528580990

NPI Information

NPI: 1528580990
Provider Name: MIND FITNESS CENTER
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
225 WEST. WINTON AVE
SUITE 202D
HAYWARD, CA
ZIP 94544
Phone: (855) 646-3123
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MIND FITNESS CENTER is a mental health counselor in Hayward, CA. MIND FITNESS CENTER NPI is 1528580990. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

225 WEST. WINTON AVE
SUITE 202D
HAYWARD, CA
ZIP 94544
Phone: (855) 646-3123
Fax: (855) 646-3123

The provider's authorized official is Darcell J. Sockwell .
The authorized official title is Ceo / Director Of Operations and has the following contact phone number (855) 646-3123.

The enumeration date for this NPI number is 7/7/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CALIFORNIA	No
2	1041C0700X	Social Worker	Clinical	CALIFORNIA	No
3	171M00000X	Case Manager/Care Coordinator		CALIFORNIA	No
4	101YM0800X	Counselor	Mental Health	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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