| Integrated Mindsets Inc | |
|
3860 Windermere Pkwy Ste 203 Cumming GA 30041-7034 | |
| (770) 953-4744 | |
| Not Available |
| Full Name | Integrated Mindsets Inc |
|---|---|
| Speciality | Counselor |
| Location | 3860 Windermere Pkwy Ste 203, Cumming, Georgia |
| Authorized Official Name and Position | Maurisa Brodsky Versel (OWNER) |
| Authorized Official Contact | 7709534744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Mindsets Inc 1827 Powers Ferry Rd Se Bldg 22 Atlanta GA 30339-5621 Ph: (770) 953-4744 | Integrated Mindsets Inc 3860 Windermere Pkwy Ste 203 Cumming GA 30041-7034 Ph: (770) 953-4744 |
| NPI Number | 1124678099 |
|---|---|
| Provider Enumeration Date | 09/12/2019 |
| Last Update Date | 09/12/2019 |
| Medicare PECOS PAC ID | 3779923644 |
|---|---|
| Medicare Enrollment ID | O20240426000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124678099 | NPI | - | NPPES |
| LPC003680 | Other | GA | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Maurisa B Versel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952954844 PECOS PAC ID: 4688014558 Enrollment ID: I20240426000006 |
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