| Mindful Elevation Counseling And Wellness, Pllc | |
|
980 7 Lks N Ste 6 West End NC 27376-9752 | |
| (910) 639-6636 | |
| (910) 974-8090 |
| Full Name | Mindful Elevation Counseling And Wellness, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 980 7 Lks N Ste 6, West End, North Carolina |
| Authorized Official Name and Position | Amber Medlin Glover (OWNER, EMPLOYEE) |
| Authorized Official Contact | 9106396636 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Elevation Counseling And Wellness, Pllc Po Box 278 Eagle Springs NC 27242-0278 Ph: (910) 639-6636 | Mindful Elevation Counseling And Wellness, Pllc 980 7 Lks N Ste 6 West End NC 27376-9752 Ph: (910) 639-6636 |
| NPI Number | 1144811126 |
|---|---|
| Provider Enumeration Date | 02/01/2021 |
| Last Update Date | 02/01/2021 |
| Certification Date | 02/01/2021 |
| Medicare PECOS PAC ID | 2769897222 |
|---|---|
| Medicare Enrollment ID | O20210215000243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144811126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amber Medlin Glover |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003292814 PECOS PAC ID: 8921365784 Enrollment ID: I20171202000171 |
| Provider Name | Madison Rachel Zwiebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629521026 PECOS PAC ID: 0446594295 Enrollment ID: I20181204003872 |
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