| Clear Mind Counseling Llc | |
|
115 S Montgomery St Trenton NJ 08611-1727 | |
| (609) 902-3271 | |
| Not Available |
| Full Name | Clear Mind Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 115 S Montgomery St, Trenton, New Jersey |
| Authorized Official Name and Position | Lucia Smith (OWNER) |
| Authorized Official Contact | 6099023271 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Mind Counseling Llc 115 S Montgomery St Trenton NJ 08611-1727 Ph: (609) 902-3271 | Clear Mind Counseling Llc 115 S Montgomery St Trenton NJ 08611-1727 Ph: (609) 902-3271 |
| NPI Number | 1134960966 |
|---|---|
| Provider Enumeration Date | 06/05/2024 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/04/2024 |
| Medicare PECOS PAC ID | 8921531823 |
|---|---|
| Medicare Enrollment ID | O20241030004487 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134960966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Lucia Wallis Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376869750 PECOS PAC ID: 7214386119 Enrollment ID: I20231216000423 |
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