| Mind Md | |
|
15221 Carrollton Blvd Ste 102 Carrollton VA 23314-2325 | |
| (757) 922-3085 | |
| (866) 362-7725 |
| Full Name | Mind Md |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 15221 Carrollton Blvd Ste 102, Carrollton, Virginia |
| Authorized Official Name and Position | Corrina Cagle (OPERATION/BUSINESS MANAGER) |
| Authorized Official Contact | 3152831468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Md Po Box 1292 Yorktown VA 23692-1292 Ph: () - | Mind Md 15221 Carrollton Blvd Ste 102 Carrollton VA 23314-2325 Ph: (757) 922-3085 |
| NPI Number | 1427794106 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 05/06/2022 |
| Certification Date | 04/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427794106 | NPI | - | NPPES |
| 11375291 | Other | VA | COMMONWEALTH OF VIRGINIA STATE CORPORATION COMMISSION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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