| Mindbridge Group, Llc | |
|
5520 Municipal Dr Bsmt Tobyhanna PA 18466-7714 | |
| (917) 576-0305 | |
| Not Available |
| Full Name | Mindbridge Group, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5520 Municipal Dr Bsmt, Tobyhanna, Pennsylvania |
| Authorized Official Name and Position | Michelle Mceachin (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9175760305 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindbridge Group, Llc 5130 Derby Rd Tobyhanna PA 18466-8212 Ph: (917) 576-0305 | Mindbridge Group, Llc 5520 Municipal Dr Bsmt Tobyhanna PA 18466-7714 Ph: (917) 576-0305 |
| NPI Number | 1497229421 |
|---|---|
| Provider Enumeration Date | 01/12/2019 |
| Last Update Date | 01/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497229421 | NPI | - | NPPES |
| 1346674975 | Other | PA | MICHELLE BACKUS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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