Provider Demographics
NPI:1699515924
Name:HEALING RESOURCES MENTAL HEALTH LLC
Entity type:Organization
Organization Name:HEALING RESOURCES MENTAL HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GRUIDL
Authorized Official - Suffix:
Authorized Official - Credentials:LPCC
Authorized Official - Phone:612-232-6902
Mailing Address - Street 1:436 8TH AVE N
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33701-2330
Mailing Address - Country:US
Mailing Address - Phone:612-232-6902
Mailing Address - Fax:
Practice Address - Street 1:1921 CARLISLE BLVD NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87110-4965
Practice Address - Country:US
Practice Address - Phone:505-225-8962
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2025-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional