Mind Health Llc | |
4030 State Highway 6 S Ste 380 College Station TX 77845-1802 | |
(979) 485-1635 | |
Not Available |
Full Name | Mind Health Llc |
---|---|
Speciality | Social Worker |
Location | 4030 State Highway 6 S Ste 380, College Station, Texas |
Authorized Official Name and Position | April Deleon (OWNER) |
Authorized Official Contact | 3616768853 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Mind Health Llc 2612 Hailes Ct College Station TX 77845-1216 Ph: () - | Mind Health Llc 4030 State Highway 6 S Ste 380 College Station TX 77845-1802 Ph: (979) 485-1635 |
NPI Number | 1922702976 |
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Provider Enumeration Date | 03/27/2023 |
Last Update Date | 03/29/2023 |
Certification Date | 03/29/2023 |
Medicare PECOS PAC ID | 9638515117 |
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Medicare Enrollment ID | O20240306003313 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922702976 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | April J Deleon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1841329547 PECOS PAC ID: 7113196775 Enrollment ID: I20110816000587 |
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