| Free Your Mind Consulting Llc | |
|
10130 Mallard Creek Rd Charlotte NC 28262-6000 | |
| (336) 462-8269 | |
| Not Available |
| Full Name | Free Your Mind Consulting Llc |
|---|---|
| Speciality | Social Worker |
| Location | 10130 Mallard Creek Rd, Charlotte, North Carolina |
| Authorized Official Name and Position | Linda Williams (CLINICAL MANAGER) |
| Authorized Official Contact | 3364628269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Your Mind Consulting Llc 10130 Mallard Creek Rd Charlotte NC 28262-6000 Ph: (336) 462-8269 | Free Your Mind Consulting Llc 10130 Mallard Creek Rd Charlotte NC 28262-6000 Ph: (336) 462-8269 |
| NPI Number | 1356926570 |
|---|---|
| Provider Enumeration Date | 03/10/2021 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 2163807694 |
|---|---|
| Medicare Enrollment ID | O20220919002460 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356926570 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Linda L Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689183568 PECOS PAC ID: 0042695546 Enrollment ID: I20220920001901 |
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