Balancing Minds Llc | |
1722 S. Glenstone Suite W, Room 106 Springfield MO 65804 | |
(417) 350-1254 | |
(417) 350-1247 |
Full Name | Balancing Minds Llc |
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Speciality | Social Worker |
Location | 1722 S. Glenstone, Springfield, Missouri |
Authorized Official Name and Position | Mandy Melissa Browning (OWNER/PROVIDER) |
Authorized Official Contact | 4173501254 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Balancing Minds Llc 1722 S. Glenstone Suite W, Room 106 Springfield MO 65804 Ph: (417) 350-1254 | Balancing Minds Llc 1722 S. Glenstone Suite W, Room 106 Springfield MO 65804 Ph: (417) 350-1254 |
NPI Number | 1396370797 |
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Provider Enumeration Date | 03/05/2020 |
Last Update Date | 03/05/2020 |
Certification Date | 03/05/2020 |
Medicare PECOS PAC ID | 1951732205 |
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Medicare Enrollment ID | O20200520003491 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396370797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Mandy Melissa Browning |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1952605545 PECOS PAC ID: 7719164433 Enrollment ID: I20110607000281 |
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