Grateful Mind Mental Health Services Inc | |
1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 | |
(757) 541-8390 | |
Not Available |
Full Name | Grateful Mind Mental Health Services Inc |
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Speciality | Clinic/Center |
Location | 1545 Crossways Blvd Ste 250, Chesapeake, Virginia |
Authorized Official Name and Position | Marcella Bowen (OWNER) |
Authorized Official Contact | 7575418390 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grateful Mind Mental Health Services Inc 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 541-8390 | Grateful Mind Mental Health Services Inc 1545 Crossways Blvd Ste 250 Chesapeake VA 23320-0218 Ph: (757) 541-8390 |
NPI Number | 1891470670 |
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Provider Enumeration Date | 06/19/2023 |
Last Update Date | 06/21/2023 |
Certification Date | 06/21/2023 |
Medicare PECOS PAC ID | 9234587999 |
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Medicare Enrollment ID | O20231120000695 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891470670 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
Provider Name | Marcella R Bowen |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003329020 PECOS PAC ID: 6204196207 Enrollment ID: I20180213001723 |
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