| Mindful Way Healing Llc | |
|
101 N Plaza East Blvd Ste 103a Evansville IN 47715-2804 | |
| (618) 383-2611 | |
| (812) 329-4141 |
| Full Name | Mindful Way Healing Llc |
|---|---|
| Speciality | Social Worker |
| Location | 101 N Plaza East Blvd Ste 103a, Evansville, Indiana |
| Authorized Official Name and Position | Heather Guinn (MEMBER) |
| Authorized Official Contact | 6183832611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Way Healing Llc Po Box 3276 Evansville IN 47731-3276 Ph: (812) 473-0181 | Mindful Way Healing Llc 101 N Plaza East Blvd Ste 103a Evansville IN 47715-2804 Ph: (618) 383-2611 |
| NPI Number | 1922872993 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 9638529597 |
|---|---|
| Medicare Enrollment ID | O20231219002388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922872993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Heather E Guinn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952838195 PECOS PAC ID: 3577892835 Enrollment ID: I20190911002663 |
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