| Mindhealthy Pc | |
|
909 Aviation Pkwy Ste 400 Morrisville NC 27560-6603 | |
| (888) 510-1352 | |
| Not Available |
| Full Name | Mindhealthy Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 909 Aviation Pkwy Ste 400, Morrisville, North Carolina |
| Authorized Official Name and Position | Brooke Gans (CEO) |
| Authorized Official Contact | 8884111520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindhealthy Pc 909 Aviation Pkwy Ste 400 Morrisville NC 27560-6603 Ph: (888) 510-1352 | Mindhealthy Pc 909 Aviation Pkwy Ste 400 Morrisville NC 27560-6603 Ph: (888) 510-1352 |
| NPI Number | 1003495896 |
|---|---|
| Provider Enumeration Date | 04/07/2021 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 4284035353 |
|---|---|
| Medicare Enrollment ID | O20210625002649 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003495896 | NPI | - | NPPES |
| Provider Name | Kristin Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912346875 PECOS PAC ID: 7719127711 Enrollment ID: I20130716000729 |
| Provider Name | Mark D'agostino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255664769 PECOS PAC ID: 5890978563 Enrollment ID: I20220324001689 |
| Provider Name | Dawn Dundas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629417571 PECOS PAC ID: 9436544053 Enrollment ID: I20220518003045 |
| Provider Name | Chelsea Marie Spillars |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225646383 PECOS PAC ID: 9032579727 Enrollment ID: I20230712004459 |
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