| A Clean Mind Llc | |
|
605 E Government St #c Pensacola FL 32502-8104 | |
| (850) 501-1150 | |
| Not Available |
| Full Name | A Clean Mind Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 605 E Government St, Pensacola, Florida |
| Authorized Official Name and Position | Ashley P Pennewill (OWNER) |
| Authorized Official Contact | 8505011150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Clean Mind Llc 1610 E Wright St Pensacola FL 32501-4354 Ph: (850) 501-1150 | A Clean Mind Llc 605 E Government St #c Pensacola FL 32502-8104 Ph: (850) 501-1150 |
| NPI Number | 1679000350 |
|---|---|
| Provider Enumeration Date | 05/12/2017 |
| Last Update Date | 05/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679000350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | SW11608 (Florida) | Primary |
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