| Mind & Body Reboot, Llc | |
|
10 Gregory Ln Chester Springs PA 19425-3314 | |
| (610) 465-7310 | |
| Not Available |
| Full Name | Mind & Body Reboot, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 10 Gregory Ln, Chester Springs, Pennsylvania |
| Authorized Official Name and Position | Lisa Cerrullo (FOUNDER) |
| Authorized Official Contact | 6104657310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind & Body Reboot, Llc 10 Gregory Ln Chester Springs PA 19425-3314 Ph: (610) 213-4101 | Mind & Body Reboot, Llc 10 Gregory Ln Chester Springs PA 19425-3314 Ph: (610) 465-7310 |
| NPI Number | 1760144901 |
|---|---|
| Provider Enumeration Date | 10/05/2021 |
| Last Update Date | 10/05/2021 |
| Certification Date | 10/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760144901 | NPI | - | NPPES |
| 1041C0700X | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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