| Mindful Therapy Solutions, Llc | |
|
25 Woods Lake Rd Ste 706 Greenville SC 29607-2764 | |
| (864) 625-0674 | |
| Not Available |
| Full Name | Mindful Therapy Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 25 Woods Lake Rd Ste 706, Greenville, South Carolina |
| Authorized Official Name and Position | Jennifer Eastin (OWNER/CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8646250674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Therapy Solutions, Llc 402 Penobscot Ct Simpsonville SC 29681-4370 Ph: (864) 354-1151 | Mindful Therapy Solutions, Llc 25 Woods Lake Rd Ste 706 Greenville SC 29607-2764 Ph: (864) 625-0674 |
| NPI Number | 1457122798 |
|---|---|
| Provider Enumeration Date | 01/15/2024 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 1254775190 |
|---|---|
| Medicare Enrollment ID | O20240219001723 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457122798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jennifer Beth Eastin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750741708 PECOS PAC ID: 7810295607 Enrollment ID: I20160412000223 |
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