| Mind Play, Llc | |
|
14540 John Marshall Hwy Ste 100 Gainesville VA 20155-1693 | |
| (540) 216-2285 | |
| (571) 415-3002 |
| Full Name | Mind Play, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14540 John Marshall Hwy Ste 100, Gainesville, Virginia |
| Authorized Official Name and Position | Mary Kirkpatrick (CEO) |
| Authorized Official Contact | 9375545975 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 | 1457953283 |
|---|---|
| Provider Enumeration Date | 11/16/2020 |
| Last Update Date | 12/07/2023 |
| Certification Date | 12/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457953283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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