| Mind Perception Therapy | |
|
4736 Grand Masters Way Woodbridge VA 22192-5553 | |
| (979) 574-9568 | |
| Not Available |
| Full Name | Mind Perception Therapy |
|---|---|
| Speciality | Counselor - Professional |
| Location | 4736 Grand Masters Way, Woodbridge, Virginia |
| Authorized Official Name and Position | Misty Melissa Brady-lee (OWNER) |
| Authorized Official Contact | 9795749568 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Perception Therapy 4736 Grand Masters Way Woodbridge VA 22192-5553 Ph: (979) 574-9568 | Mind Perception Therapy 4736 Grand Masters Way Woodbridge VA 22192-5553 Ph: (979) 574-9568 |
| NPI Number | 1649886151 |
|---|---|
| Provider Enumeration Date | 09/20/2020 |
| Last Update Date | 09/20/2020 |
| Certification Date | 09/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649886151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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