Mindful Soul Counseling, Llc | |
2 Main St Ste 18-223 Biddeford ME 04005-2069 | |
(207) 286-5400 | |
Not Available |
Full Name | Mindful Soul Counseling, Llc |
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Speciality | Counselor |
Location | 2 Main St Ste 18-223, Biddeford, Maine |
Authorized Official Name and Position | Elizabeth Wallner (MANAGER) |
Authorized Official Contact | 2072865400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindful Soul Counseling, Llc 2 Main St Ste 18-223 Biddeford ME 04005-2069 Ph: (207) 286-5400 | Mindful Soul Counseling, Llc 2 Main St Ste 18-223 Biddeford ME 04005-2069 Ph: (207) 286-5400 |
NPI Number | 1023617578 |
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Provider Enumeration Date | 10/25/2020 |
Last Update Date | 10/25/2020 |
Certification Date | 10/25/2020 |
Medicare PECOS PAC ID | 4183077670 |
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Medicare Enrollment ID | O20240131004327 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023617578 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Elizabeth G Wallner |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1457581548 PECOS PAC ID: 5092168583 Enrollment ID: I20240131004408 |
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