| Mind Wellness, Llc | |
|
600 17th Street Suite 2800-south Denver CO 80202 | |
| (918) 574-5124 | |
| Not Available |
| Full Name | Mind Wellness, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 600 17th Street, Denver, Colorado |
| Authorized Official Name and Position | Stephanie Sue Mcquarters (NURSE PRACTITIONER) |
| Authorized Official Contact | 9185745124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mind Wellness, Llc 1840 South Lions Avenue Broken Arrow OK 74012 Ph: (918) 574-5124 | Mind Wellness, Llc 600 17th Street Suite 2800-south Denver CO 80202 Ph: (918) 574-5124 |
| NPI Number | 1497438204 |
|---|---|
| Provider Enumeration Date | 08/08/2023 |
| Last Update Date | 08/08/2023 |
| Certification Date | 08/08/2023 |
| Medicare PECOS PAC ID | 4284083619 |
|---|---|
| Medicare Enrollment ID | O20231212000028 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497438204 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Stephanie S Mcquarters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598284358 PECOS PAC ID: 0345294955 Enrollment ID: I20180116000408 |
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