| Mind Matters Llc | |
|
3201 S Providence Rd Ste 202 Columbia MO 65203-3622 | |
| (573) 447-7456 | |
| (573) 447-7457 |
| Full Name | Mind Matters Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 3201 S Providence Rd Ste 202, Columbia, Missouri |
| Authorized Official Name and Position | Sarah Anderson (CONSULTANT) |
| Authorized Official Contact | 5732141355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Matters Llc 3201 S Providence Rd Ste 202 Columbia MO 65203-3622 Ph: (573) 447-7456 | Mind Matters Llc 3201 S Providence Rd Ste 202 Columbia MO 65203-3622 Ph: (573) 447-7456 |
| NPI Number | 1285194613 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 8224362413 |
|---|---|
| Medicare Enrollment ID | O20190621000693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285194613 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Kristin L Parkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902918501 PECOS PAC ID: 8123194669 Enrollment ID: I20080905000559 |
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