| Mind Heart Connection Llc | |
|
820 Maple Forest Ct Chesapeake VA 23322-7566 | |
| (757) 295-1968 | |
| Not Available |
| Full Name | Mind Heart Connection Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 820 Maple Forest Ct, Chesapeake, Virginia |
| Authorized Official Name and Position | Mark Thomas Bleil (REGISTERED AGENT) |
| Authorized Official Contact | 7572951968 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Heart Connection Llc 820 Maple Forest Ct Chesapeake VA 23322-7566 Ph: (757) 295-1968 | Mind Heart Connection Llc 820 Maple Forest Ct Chesapeake VA 23322-7566 Ph: (757) 295-1968 |
| NPI Number | 1366066938 |
|---|---|
| Provider Enumeration Date | 05/30/2020 |
| Last Update Date | 05/30/2020 |
| Certification Date | 05/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366066938 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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