| Mindful Support Therapy | |
|
13577 La Mirada Cir Wellington FL 33414-3955 | |
| (561) 758-2549 | |
| Not Available |
| Full Name | Mindful Support Therapy |
|---|---|
| Speciality | Counselor |
| Location | 13577 La Mirada Cir, Wellington, Florida |
| Authorized Official Name and Position | Sharon Sinclair (OWNER) |
| Authorized Official Contact | 5617582549 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Support Therapy 13577 La Mirada Cir Wellington FL 33414-3955 Ph: (561) 758-2549 | Mindful Support Therapy 13577 La Mirada Cir Wellington FL 33414-3955 Ph: (561) 758-2549 |
| NPI Number | 1295419679 |
|---|---|
| Provider Enumeration Date | 06/14/2023 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/24/2024 |
| Medicare PECOS PAC ID | 0345682720 |
|---|---|
| Medicare Enrollment ID | O20240530003289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295419679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sharon Sinclair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083250559 PECOS PAC ID: 2163864547 Enrollment ID: I20240530003468 |
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