Holistic Healing For The Mind And Soul, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in White Stone, Virginia. The current practice location for Holistic Healing For The Mind And Soul, Llc is 46 Pine Dr, White Stone, Virginia. For appointments, you can reach them via phone at (804) 480-9104. The mailing address for Holistic Healing For The Mind And Soul, Llc is 46 Pine Dr, White Stone, Virginia and phone number is (804) 480-9104.
Holistic Healing For The Mind And Soul, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1265292841. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (804) 480-9104.
Brooke Shanel Lee (LICENSE CLINICAL SOCIAL WORKER)
Authorized Official Contact
8044809104
Accepts Medicare Insurance
Yes. This clinic participates in medicare program and accept medicare insurance.
Mailing Address and Practice Location
Mailing Address
Practice Location Address
Holistic Healing For The Mind And Soul, Llc 46 Pine Dr White Stone VA 22578-2641 Ph: (804) 480-9104
Holistic Healing For The Mind And Soul, Llc 46 Pine Dr White Stone VA 22578-2641 Ph: (804) 480-9104
NPI Details:
NPI Number
1265292841
Provider Enumeration Date
03/20/2024
Last Update Date
04/30/2024
Certification Date
04/30/2024
Medicare PECOS Information:
Medicare PECOS PAC ID
4486197415
Medicare Enrollment ID
O20240619000848
Medical Identifiers
Medical identifiers for Holistic Healing For The Mind And Soul, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier
Type
State
Issuer
1265292841
NPI
-
NPPES
Medical Taxonomies and Licenses
Taxonomy
Type
License (State)
Status
1041C0700X
Social Worker - Clinical
(* (Not Available))
Primary
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Holistic Healing For The Mind And Soul, Llc acts as a billing entity for following providers: