| Mindful Healing Inc. | |
|
3618 Brambleton Ave Ste C Roanoke VA 24018-3659 | |
| (540) 521-0151 | |
| (540) 655-4199 |
| Full Name | Mindful Healing Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 3618 Brambleton Ave Ste C, Roanoke, Virginia |
| Authorized Official Name and Position | Karen Forbes (OWNER) |
| Authorized Official Contact | 5403534015 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Healing Inc. 3618 Brambleton Ave Ste C Roanoke VA 24018-3659 Ph: (540) 353-4015 | Mindful Healing Inc. 3618 Brambleton Ave Ste C Roanoke VA 24018-3659 Ph: (540) 521-0151 |
| NPI Number | 1174984348 |
|---|---|
| Provider Enumeration Date | 03/15/2016 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 3274800750 |
|---|---|
| Medicare Enrollment ID | O20170605002211 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174984348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904008116 (Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| Provider Name | Karen G Forbes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407192271 PECOS PAC ID: 8022391937 Enrollment ID: I20180507002757 |
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