| Clear Mind Counseling Llc | |
|
8 Hillview Dr North Providence RI 02904-4617 | |
| (508) 216-0077 | |
| (508) 507-3350 |
| Full Name | Clear Mind Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 8 Hillview Dr, North Providence, Rhode Island |
| Authorized Official Name and Position | Mandy Crystal Baker (OWNER) |
| Authorized Official Contact | 5082160077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Mind Counseling Llc 371 Putnam Pike Ste 230 Pmb 1003 Smithfield RI 02917 Ph: (508) 216-0077 | Clear Mind Counseling Llc 8 Hillview Dr North Providence RI 02904-4617 Ph: (508) 216-0077 |
| NPI Number | 1588314371 |
|---|---|
| Provider Enumeration Date | 03/25/2022 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Medicare PECOS PAC ID | 8527411289 |
|---|---|
| Medicare Enrollment ID | O20240129004143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588314371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mandy Crystal Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922160555 PECOS PAC ID: 9436502192 Enrollment ID: I20240129004254 |
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