| A Mindful Path To Mental Health Inc | |
|
10419 Old Placerville Rd Ste 252 Sacramento CA 95827-2527 | |
| (916) 536-6030 | |
| (916) 244-3865 |
| Full Name | A Mindful Path To Mental Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10419 Old Placerville Rd Ste 252, Sacramento, California |
| Authorized Official Name and Position | Carolina Bonilla Jacome (PRESIDENT/CEO) |
| Authorized Official Contact | 9165366030 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A Mindful Path To Mental Health Inc Po Box 1267 Fair Oaks CA 95628-1267 Ph: (916) 536-6030 | A Mindful Path To Mental Health Inc 10419 Old Placerville Rd Ste 252 Sacramento CA 95827-2527 Ph: (916) 536-6030 |
| NPI Number | 1033725825 |
|---|---|
| Provider Enumeration Date | 09/17/2020 |
| Last Update Date | 05/01/2024 |
| Certification Date | 05/01/2024 |
| Medicare PECOS PAC ID | 5193135531 |
|---|---|
| Medicare Enrollment ID | O20201113000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033725825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Carolina Bonilla Jacome |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619169984 PECOS PAC ID: 6103980891 Enrollment ID: I20090124000018 |
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