| Innovative State Of Mind Llc | |
|
116 Baptist St Salisbury MD 21801-4911 | |
| (240) 486-0694 | |
| Not Available |
| Full Name | Innovative State Of Mind Llc |
|---|---|
| Speciality | Social Worker |
| Location | 116 Baptist St, Salisbury, Maryland |
| Authorized Official Name and Position | Theresa M Huffines (SOLE OWNER) |
| Authorized Official Contact | 2404860694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innovative State Of Mind Llc 1147 S Salisbury Blvd Ste 8 #274 Salisbury MD 21801-6865 Ph: () - | Innovative State Of Mind Llc 116 Baptist St Salisbury MD 21801-4911 Ph: (240) 486-0694 |
| NPI Number | 1881225167 |
|---|---|
| Provider Enumeration Date | 01/27/2020 |
| Last Update Date | 01/27/2020 |
| Certification Date | 01/27/2020 |
| Medicare PECOS PAC ID | 7810325974 |
|---|---|
| Medicare Enrollment ID | O20200324001018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881225167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Theresa Huffines |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588058663 PECOS PAC ID: 6406197581 Enrollment ID: I20190418001566 |
New Transitions, Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1118 E Main St, Salisbury, MD 21804 Phone: 410-219-5070 | |
Compass Health Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2326 Goddard Pkwy Unit A, Salisbury, MD 21801 Phone: 443-978-7803 Fax: 443-978-7827 | |
Cove Recovery, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 540 Riverside Drive, Suite 8, Salisbury, MD 21801 Phone: 410-548-3333 Fax: 410-548-3341 | |
Riverside Neurology Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 560 Riverside Dr Ste B204, Salisbury, MD 21801 Phone: 410-546-5722 Fax: 410-546-5851 | |
Dr. Leslie Donnelly And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 W Main St, Suite 201, Salisbury, MD 21801 Phone: 410-742-7160 Fax: 410-546-1048 | |
Personal Wellness Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 | |
Push Health And Wellness, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1321 Mount Hermon Rd # C-1, Salisbury, MD 21804 Phone: 443-736-8661 |