| Clear Mind Group Llc | |
|
2645 Executive Park Dr # 606 Weston FL 33331-3624 | |
| (954) 612-9553 | |
| Not Available |
| Full Name | Clear Mind Group Llc |
|---|---|
| Speciality | Counselor |
| Location | 2645 Executive Park Dr # 606, Weston, Florida |
| Authorized Official Name and Position | Autumn P Hahn (OWNER) |
| Authorized Official Contact | 9546129553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clear Mind Group Llc 2645 Executive Park Dr # 606 Weston FL 33331-3624 Ph: () - | Clear Mind Group Llc 2645 Executive Park Dr # 606 Weston FL 33331-3624 Ph: (954) 612-9553 |
| NPI Number | 1841818127 |
|---|---|
| Provider Enumeration Date | 07/13/2020 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Medicare PECOS PAC ID | 2163861105 |
|---|---|
| Medicare Enrollment ID | O20240423003440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841818127 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Autumn Pease Hahn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235441809 PECOS PAC ID: 3072952019 Enrollment ID: I20240423003596 |
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