| Mindful Counseling And Wellness Llc | |
|
221 Devlin Ct Se Palm Bay FL 32909 | |
| (321) 848-2215 | |
| Not Available |
| Full Name | Mindful Counseling And Wellness Llc |
|---|---|
| Speciality | Social Worker |
| Location | 221 Devlin Ct Se, Palm Bay, Florida |
| Authorized Official Name and Position | Rebecka Lynn Van Heden (PRESIDENT) |
| Authorized Official Contact | 3218482215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Counseling And Wellness Llc 221 Devlin Ct Se Palm Bay FL 32909-2322 Ph: (321) 848-2215 | Mindful Counseling And Wellness Llc 221 Devlin Ct Se Palm Bay FL 32909 Ph: (321) 848-2215 |
| NPI Number | 1972094357 |
|---|---|
| Provider Enumeration Date | 05/22/2018 |
| Last Update Date | 08/02/2018 |
| Medicare PECOS PAC ID | 0042560559 |
|---|---|
| Medicare Enrollment ID | O20180904003154 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972094357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rebecka Lynn Van Heden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518161876 PECOS PAC ID: 8123378643 Enrollment ID: I20180904003348 |
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