| Mindful Recovery Llc | |
|
516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 | |
| (443) 203-9774 | |
| Not Available |
| Full Name | Mindful Recovery Llc |
|---|---|
| Speciality | Social Worker |
| Location | 516 N Rolling Rd Ste 305, Catonsville, Maryland |
| Authorized Official Name and Position | Lindsey Weller (OWNER) |
| Authorized Official Contact | 4432039774 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Recovery Llc 516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 Ph: () - | Mindful Recovery Llc 516 N Rolling Rd Ste 305 Catonsville MD 21228-4142 Ph: (443) 203-9774 |
| NPI Number | 1669116059 |
|---|---|
| Provider Enumeration Date | 04/22/2022 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Medicare PECOS PAC ID | 6103266044 |
|---|---|
| Medicare Enrollment ID | O20240425003094 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669116059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lindsey Weller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073007910 PECOS PAC ID: 4688045016 Enrollment ID: I20230124000033 |
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