| Heartmind Psychotherapy, Llc | |
|
136 Maine St Ste 7 Brunswick ME 04011-2071 | |
| (207) 749-9257 | |
| Not Available |
| Full Name | Heartmind Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 136 Maine St Ste 7, Brunswick, Maine |
| Authorized Official Name and Position | Zachary Scott Brown (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2077499257 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartmind Psychotherapy, Llc Po Box 594 Yarmouth ME 04096-0594 Ph: () - | Heartmind Psychotherapy, Llc 136 Maine St Ste 7 Brunswick ME 04011-2071 Ph: (207) 749-9257 |
| NPI Number | 1457128878 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 07/16/2024 |
| Certification Date | 07/16/2024 |
| Medicare PECOS PAC ID | 9133567175 |
|---|---|
| Medicare Enrollment ID | O20240409004753 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457128878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Zachary Scott Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144700717 PECOS PAC ID: 5294184792 Enrollment ID: I20231208002747 |
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