Provider Demographics
NPI:1578309977
Name:HEALTHIER MINDS PSYCHOANALYSIS AND PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:HEALTHIER MINDS PSYCHOANALYSIS AND PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SHIRLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:DISU
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD, LP
Authorized Official - Phone:718-954-5260
Mailing Address - Street 1:PO BOX 140580
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-0580
Mailing Address - Country:US
Mailing Address - Phone:718-954-5260
Mailing Address - Fax:
Practice Address - Street 1:333 GLEN AVE
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2823
Practice Address - Country:US
Practice Address - Phone:718-954-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-04
Last Update Date:2024-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP0814XBehavioral Health & Social Service ProvidersPsychologistPsychoanalysisGroup - Multi-Specialty