| Mind Body Unity Llc | |
|
2424 India Hook Rd Ste 140 Rock Hill SC 29732-1278 | |
| (803) 339-9504 | |
| Not Available |
| Full Name | Mind Body Unity Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2424 India Hook Rd Ste 140, Rock Hill, South Carolina |
| Authorized Official Name and Position | Georgette T Fuhr (OWNER) |
| Authorized Official Contact | 8033399504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Body Unity Llc 2424 India Hook Rd Ste 140 Rock Hill SC 29732-1278 Ph: (803) 339-9504 | Mind Body Unity Llc 2424 India Hook Rd Ste 140 Rock Hill SC 29732-1278 Ph: (803) 339-9504 |
| NPI Number | 1316600141 |
|---|---|
| Provider Enumeration Date | 10/19/2021 |
| Last Update Date | 10/19/2021 |
| Certification Date | 10/19/2021 |
| Medicare PECOS PAC ID | 3274997721 |
|---|---|
| Medicare Enrollment ID | O20230915002896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316600141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Georgette Thomasina Fuhr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265855092 PECOS PAC ID: 5698197234 Enrollment ID: I20230915003248 |
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