| Mind Resolutions Clinical Services, Llc | |
|
2006 S 10th St Apt D Fort Pierce FL 34950-5341 | |
| (772) 216-3270 | |
| Not Available |
| Full Name | Mind Resolutions Clinical Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2006 S 10th St Apt D, Fort Pierce, Florida |
| Authorized Official Name and Position | Sade Blackshear (OWNER/MANAGER) |
| Authorized Official Contact | 7722163270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Resolutions Clinical Services, Llc 2006 S 10th St Apt D Fort Pierce FL 34950-5341 Ph: (772) 216-3270 | Mind Resolutions Clinical Services, Llc 2006 S 10th St Apt D Fort Pierce FL 34950-5341 Ph: (772) 216-3270 |
| NPI Number | 1487249652 |
|---|---|
| Provider Enumeration Date | 03/09/2021 |
| Last Update Date | 03/09/2021 |
| Certification Date | 03/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487249652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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