| Healthy Mind Llc | |
|
17999 Scout Ln Westfield IN 46074-7464 | |
| (317) 703-9229 | |
| Not Available |
| Full Name | Healthy Mind Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17999 Scout Ln, Westfield, Indiana |
| Authorized Official Name and Position | Kristina Elsbury (OWNER) |
| Authorized Official Contact | 3177039229 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthy Mind Llc 17999 Scout Ln Westfield IN 46074-7464 Ph: (317) 703-9229 | Healthy Mind Llc 17999 Scout Ln Westfield IN 46074-7464 Ph: (317) 703-9229 |
| NPI Number | 1770298945 |
|---|---|
| Provider Enumeration Date | 01/20/2023 |
| Last Update Date | 01/20/2023 |
| Certification Date | 01/20/2023 |
| Medicare PECOS PAC ID | 4183097454 |
|---|---|
| Medicare Enrollment ID | O20230307002600 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770298945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristina K Elsbury |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962780890 PECOS PAC ID: 1850605908 Enrollment ID: I20150803000890 |
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