| Mind Play, Llc | |
|
14540 John Marshall Hwy Ste 100 Gainesville VA 20155-1693 | |
| (540) 216-2285 | |
| (540) 415-3002 |
| Full Name | Mind Play, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 14540 John Marshall Hwy Ste 100, Gainesville, Virginia |
| Authorized Official Name and Position | Mary Elizabeth Kirkpatrick (CEO) |
| Authorized Official Contact | 9375545975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Play, Llc 6479 Goochland St Warrenton VA 20187-4175 Ph: (937) 554-5975 | Mind Play, Llc 14540 John Marshall Hwy Ste 100 Gainesville VA 20155-1693 Ph: (540) 216-2285 |
| NPI Number | 1134715915 |
|---|---|
| Provider Enumeration Date | 12/16/2020 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Medicare PECOS PAC ID | 1456704485 |
|---|---|
| Medicare Enrollment ID | O20240125004855 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134715915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Mary Elizabeth Kirkpatrick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366076952 PECOS PAC ID: 2365895398 Enrollment ID: I20240126000002 |
Windward Optimal Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7371 Atlas Walk Way #114, Gainesville, VA 20155 Phone: 703-665-0754 | |
Paragon Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7051 Heathcote Village Way Ste 130, Gainesville, VA 20155 Phone: 571-393-1227 | |
In The Moment Counseling & Life Coaching Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7059 Sauvage Ln, Gainesville, VA 20155 Phone: 240-432-9621 | |
Pamco Care Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7316 Respite Court, Gainesville, VA 20155 Phone: 703-257-7000 Fax: 703-257-7002 | |
Klc Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7001 Heritage Village Plz Ste 230, Gainesville, VA 20155 Phone: 571-481-7878 | |
Gainesville Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 7230 Heritage Village Plz, Suite 201, Gainesville, VA 20155 Phone: 571-248-0757 Fax: 571-248-0758 |