Mind Right, Llc | |
1951 Gault Ave N Fort Payne AL 35967-3417 | |
(256) 273-6800 | |
Not Available |
Full Name | Mind Right, Llc |
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Speciality | Social Worker |
Location | 1951 Gault Ave N, Fort Payne, Alabama |
Authorized Official Name and Position | Heather Henry (OWNER) |
Authorized Official Contact | 2562736800 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mind Right, Llc 1951 Gault Ave N Fort Payne AL 35967-3417 Ph: (256) 273-6800 | Mind Right, Llc 1951 Gault Ave N Fort Payne AL 35967-3417 Ph: (256) 273-6800 |
NPI Number | 1518685767 |
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Provider Enumeration Date | 08/15/2022 |
Last Update Date | 05/04/2023 |
Certification Date | 05/04/2023 |
Medicare PECOS PAC ID | 2365827052 |
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Medicare Enrollment ID | O20220915003804 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518685767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Kari B Owens |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487090155 PECOS PAC ID: 1759704554 Enrollment ID: I20200713002449 |
Provider Name | Heather B Henry |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225794803 PECOS PAC ID: 3274918966 Enrollment ID: I20220916001396 |
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