Limitless Minds Llc. | |
1118 S Main St Ste 2 Morgantown KY 42261-9409 | |
(270) 288-5036 | |
(270) 228-5082 |
Full Name | Limitless Minds Llc. |
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Speciality | Social Worker |
Location | 1118 S Main St Ste 2, Morgantown, Kentucky |
Authorized Official Name and Position | Bret Nicholas Parks (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 2702885036 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Limitless Minds Llc. Po Box 1655 Morgantown KY 42261-1655 Ph: (270) 288-5036 | Limitless Minds Llc. 1118 S Main St Ste 2 Morgantown KY 42261-9409 Ph: (270) 288-5036 |
NPI Number | 1376152728 |
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Provider Enumeration Date | 07/30/2020 |
Last Update Date | 10/11/2024 |
Certification Date | 10/11/2024 |
Medicare PECOS PAC ID | 8729488424 |
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Medicare Enrollment ID | O20210617001586 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376152728 | NPI | - | NPPES |
1689145971 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Bret N Parks |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689145971 PECOS PAC ID: 3476989674 Enrollment ID: I20200206002468 |
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