| Healthy Mind Counseling & Nutrition,llc | |
|
733 Thimble Shoals Blvd Ste 170 Newport News VA 23606-4260 | |
| (757) 537-8224 | |
| (757) 260-4896 |
| Full Name | Healthy Mind Counseling & Nutrition,llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 733 Thimble Shoals Blvd Ste 170, Newport News, Virginia |
| Authorized Official Name and Position | Kimberly Parker (OWNER) |
| Authorized Official Contact | 7575378224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mind Counseling & Nutrition,llc 3575 Bridge Rd Ste 228 Suffolk VA 23435-1800 Ph: (757) 537-8224 | Healthy Mind Counseling & Nutrition,llc 733 Thimble Shoals Blvd Ste 170 Newport News VA 23606-4260 Ph: (757) 537-8224 |
| NPI Number | 1528689130 |
|---|---|
| Provider Enumeration Date | 05/05/2020 |
| Last Update Date | 02/11/2024 |
| Certification Date | 02/11/2024 |
| Medicare PECOS PAC ID | 4284056193 |
|---|---|
| Medicare Enrollment ID | O20200623002059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528689130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kimberly M Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609340611 PECOS PAC ID: 0547502445 Enrollment ID: I20190424002471 |
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