| Mind & Body Therapeutic Connections, Pllc | |
|
136 Us 70 Hwy E Garner NC 27529-3982 | |
| (919) 791-5611 | |
| Not Available |
| Full Name | Mind & Body Therapeutic Connections, Pllc |
|---|---|
| Speciality | Counselor |
| Location | 136 Us 70 Hwy E, Garner, North Carolina |
| Authorized Official Name and Position | Susann Hoppmann Navarra (OWNER) |
| Authorized Official Contact | 9197915611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind & Body Therapeutic Connections, Pllc 136 Us 70 Hwy E Garner NC 27529-3982 Ph: (919) 791-5611 | Mind & Body Therapeutic Connections, Pllc 136 Us 70 Hwy E Garner NC 27529-3982 Ph: (919) 791-5611 |
| NPI Number | 1336767961 |
|---|---|
| Provider Enumeration Date | 07/09/2020 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Medicare PECOS PAC ID | 4880010867 |
|---|---|
| Medicare Enrollment ID | O20200820003732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336767961 | NPI | - | NPPES |
| Provider Name | Susann Hoppmann Navarra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336218932 PECOS PAC ID: 4385739978 Enrollment ID: I20070927000281 |
| Provider Name | Ronald Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376159400 PECOS PAC ID: 2163835323 Enrollment ID: I20210106002973 |
| Provider Name | Emily Renee Reardon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619462942 PECOS PAC ID: 5597168211 Enrollment ID: I20210719002630 |
| Provider Name | Kerry M Dowd |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205452448 PECOS PAC ID: 4789088485 Enrollment ID: I20210803001046 |
| Provider Name | Tara Samantha Nate |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003517004 PECOS PAC ID: 0345698874 Enrollment ID: I20231122001118 |
| Provider Name | Kelee Nicole Lambert |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1134735251 PECOS PAC ID: 8224471131 Enrollment ID: I20240207003974 |
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