| Mental Wellness Group Pllc | |
|
3959 Electric Rd Ste 280 Roanoke VA 24018-4572 | |
| (540) 427-7944 | |
| (540) 427-7945 |
| Full Name | Mental Wellness Group Pllc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3959 Electric Rd Ste 280, Roanoke, Virginia |
| Authorized Official Name and Position | Malak Iskandar (OWNER) |
| Authorized Official Contact | 5404277944 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Wellness Group Pllc Po Box 20867 Roanoke VA 24018-0526 Ph: (540) 427-7944 | Mental Wellness Group Pllc 3959 Electric Rd Ste 280 Roanoke VA 24018-4572 Ph: (540) 427-7944 |
| NPI Number | 1760860936 |
|---|---|
| Provider Enumeration Date | 05/08/2015 |
| Last Update Date | 09/23/2018 |
| Medicare PECOS PAC ID | 8729394762 |
|---|---|
| Medicare Enrollment ID | O20150904001560 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760860936 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Malak W Iskandar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1841581295 PECOS PAC ID: 9436465473 Enrollment ID: I20150905000015 |
| Provider Name | Janet G Philps |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487965471 PECOS PAC ID: 5799905741 Enrollment ID: I20150905000022 |
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