Mindful Journey Therapeutic Services Llc | |
732 Thimble Shoals Blvd Ste 702 Newport News VA 23606-4256 | |
(757) 309-7027 | |
Not Available |
Full Name | Mindful Journey Therapeutic Services Llc |
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Speciality | Social Worker |
Location | 732 Thimble Shoals Blvd Ste 702, Newport News, Virginia |
Authorized Official Name and Position | Nina Franklin (OWNER) |
Authorized Official Contact | 7573097027 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindful Journey Therapeutic Services Llc 732 Thimble Shoals Blvd Ste 702 Newport News VA 23606-4256 Ph: (757) 309-7027 | Mindful Journey Therapeutic Services Llc 732 Thimble Shoals Blvd Ste 702 Newport News VA 23606-4256 Ph: (757) 309-7027 |
NPI Number | 1124684253 |
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Provider Enumeration Date | 05/14/2019 |
Last Update Date | 05/17/2023 |
Certification Date | 05/17/2023 |
Medicare PECOS PAC ID | 3577895374 |
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Medicare Enrollment ID | O20191028003262 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124684253 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
Provider Name | Nina Lashae Franklin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699269779 PECOS PAC ID: 4486986288 Enrollment ID: I20191028003303 |
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