| Mind Body Soul Wellness Center, Llc | |
|
3070 Bristol Pike Ste 2-218 Bensalem PA 19020-5361 | |
| (267) 332-6605 | |
| Not Available |
| Full Name | Mind Body Soul Wellness Center, Llc |
|---|---|
| Speciality | Counselor |
| Location | 3070 Bristol Pike Ste 2-218, Bensalem, Pennsylvania |
| Authorized Official Name and Position | Bonnie Jean Kane (OWNER / PROVIDER) |
| Authorized Official Contact | 2673326605 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Soul Wellness Center, Llc 4802 Neshaminy Blvd Ste 3&4 Bensalem PA 19020-1041 Ph: (267) 332-6605 | Mind Body Soul Wellness Center, Llc 3070 Bristol Pike Ste 2-218 Bensalem PA 19020-5361 Ph: (267) 332-6605 |
| NPI Number | 1669183927 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 03/25/2024 |
| Certification Date | 03/25/2024 |
| Medicare PECOS PAC ID | 4284085499 |
|---|---|
| Medicare Enrollment ID | O20240111002363 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669183927 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Bonnie Kane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861948648 PECOS PAC ID: 6709162597 Enrollment ID: I20240111002431 |
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