Healthy Minds Therapy Pllc | |
418 E Rosser Ave Ste 104 Bismarck ND 58501-4046 | |
(701) 428-1452 | |
Not Available |
Full Name | Healthy Minds Therapy Pllc |
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Speciality | Clinic/Center |
Location | 418 E Rosser Ave Ste 104, Bismarck, North Dakota |
Authorized Official Name and Position | Nicholas Smith (OFFICE MANAGER) |
Authorized Official Contact | 7014281452 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Healthy Minds Therapy Pllc 418 E Rosser Ave Ste 104 Bismarck ND 58501-4046 Ph: (701) 428-1452 | Healthy Minds Therapy Pllc 418 E Rosser Ave Ste 104 Bismarck ND 58501-4046 Ph: (701) 428-1452 |
NPI Number | 1629768221 |
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Provider Enumeration Date | 05/09/2023 |
Last Update Date | 05/09/2023 |
Certification Date | 05/09/2023 |
Medicare PECOS PAC ID | 8628432556 |
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Medicare Enrollment ID | O20230912000790 |
Identifier | Type | State | Issuer |
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1629768221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Elizabeth A Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1982235610 PECOS PAC ID: 8022448984 Enrollment ID: I20200417001150 |
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