Be Mindful Clinic Llc | |
50 Merriman Rd Windsor CT 06095-1065 | |
(860) 268-9558 | |
Not Available |
Full Name | Be Mindful Clinic Llc |
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Speciality | Social Worker |
Location | 50 Merriman Rd, Windsor, Connecticut |
Authorized Official Name and Position | Tanesha Sharee Pickard (OWNER/CLINICIAN) |
Authorized Official Contact | 8602689558 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Be Mindful Clinic Llc 50 Merriman Rd Windsor CT 06095-1065 Ph: (860) 268-9558 | Be Mindful Clinic Llc 50 Merriman Rd Windsor CT 06095-1065 Ph: (860) 268-9558 |
NPI Number | 1720798317 |
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Provider Enumeration Date | 12/05/2022 |
Last Update Date | 01/04/2023 |
Certification Date | 01/04/2023 |
Medicare PECOS PAC ID | 1850757253 |
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Medicare Enrollment ID | O20230509002131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720798317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Tanesha S Pickard |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467769752 PECOS PAC ID: 6406212687 Enrollment ID: I20230512001317 |
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