| Mindful Matters Llc | |
|
1361 Back River Rd South Royalton VT 05068-5017 | |
| (802) 587-2773 | |
| Not Available |
| Full Name | Mindful Matters Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1361 Back River Rd, South Royalton, Vermont |
| Authorized Official Name and Position | Amanda Enright (OWNER) |
| Authorized Official Contact | 8023561773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Matters Llc 1361 Back River Rd South Royalton VT 05068-5017 Ph: (802) 356-1773 | Mindful Matters Llc 1361 Back River Rd South Royalton VT 05068-5017 Ph: (802) 587-2773 |
| NPI Number | 1073282794 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 0648664292 |
|---|---|
| Medicare Enrollment ID | O20220225000656 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073282794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Enright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184221020 PECOS PAC ID: 1557755105 Enrollment ID: I20220225000816 |
South Royalton School Based Health Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4266 Vermont Route 14, South Royalton, VT 05068 Phone: 802-431-6060 |