| Mindcare Solutions, Pc | |
|
245 Forest Ave Ludlow KY 41016-1408 | |
| (330) 536-3746 | |
| (330) 267-4250 |
| Full Name | Mindcare Solutions, Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 245 Forest Ave, Ludlow, Kentucky |
| Authorized Official Name and Position | Manuel Alberto Castro (OWNER) |
| Authorized Official Contact | 3058034802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindcare Solutions, Pc 3593 Medina Rd 181 Medina OH 44256-8182 Ph: (330) 664-9250 | Mindcare Solutions, Pc 245 Forest Ave Ludlow KY 41016-1408 Ph: (330) 536-3746 |
| NPI Number | 1386357770 |
|---|---|
| Provider Enumeration Date | 12/30/2022 |
| Last Update Date | 03/06/2024 |
| Certification Date | 03/06/2024 |
| Medicare PECOS PAC ID | 2466779855 |
|---|---|
| Medicare Enrollment ID | O20230823003323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386357770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Caroline Molony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053995472 PECOS PAC ID: 9234530460 Enrollment ID: I20230824003198 |
| Provider Name | Nerria Banner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669228615 PECOS PAC ID: 1456893940 Enrollment ID: I20240613003528 |