| Mindful And Well | |
|
505 E North Village Dr Shipshewana IN 46565-8662 | |
| (260) 383-2322 | |
| (260) 383-2422 |
| Full Name | Mindful And Well |
|---|---|
| Speciality | Counselor |
| Location | 505 E North Village Dr, Shipshewana, Indiana |
| Authorized Official Name and Position | Dora Martin-eash (OWNER) |
| Authorized Official Contact | 2603832322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful And Well 5955 N 1120 W Middlebury IN 46540-9386 Ph: (260) 383-2322 | Mindful And Well 505 E North Village Dr Shipshewana IN 46565-8662 Ph: (260) 383-2322 |
| NPI Number | 1982391157 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 12/18/2023 |
| Certification Date | 12/18/2023 |
| Medicare PECOS PAC ID | 6204288301 |
|---|---|
| Medicare Enrollment ID | O20240113000174 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982391157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Dora Martin-eash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790005007 PECOS PAC ID: 5496974404 Enrollment ID: I20140923002206 |
Christian Psychological Services, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 N. Morton St., Second Floor, Shipshewana, IN 46565 Phone: 260-336-3362 Fax: 260-768-7114 | |
Renew Hope Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5460 N 450 W, Shipshewana, IN 46565 Phone: 260-463-6915 |