| Mindful Monarch Counseling Llc | |
|
1413 S Patrick Dr Ste 4 Satellite Beach FL 32937-4344 | |
| (321) 482-4188 | |
| Not Available |
| Full Name | Mindful Monarch Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1413 S Patrick Dr Ste 4, Satellite Beach, Florida |
| Authorized Official Name and Position | Michelle Boyles (OWNER) |
| Authorized Official Contact | 3214824188 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Monarch Counseling Llc 1413 S Patrick Dr Ste 4 Satellite Beach FL 32937-4344 Ph: (772) 494-1215 | Mindful Monarch Counseling Llc 1413 S Patrick Dr Ste 4 Satellite Beach FL 32937-4344 Ph: (321) 482-4188 |
| NPI Number | 1649862095 |
|---|---|
| Provider Enumeration Date | 02/08/2021 |
| Last Update Date | 03/15/2021 |
| Certification Date | 03/15/2021 |
| Medicare PECOS PAC ID | 7911315429 |
|---|---|
| Medicare Enrollment ID | O20210422001486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649862095 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michelle M Boyles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952643801 PECOS PAC ID: 2961620182 Enrollment ID: I20140902000485 |
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