Mindability Concierge, Llc | |
351 Pine Ridge Ln Indiana PA 15701-8688 | |
(724) 200-8027 | |
Not Available |
Full Name | Mindability Concierge, Llc |
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Speciality | Social Worker |
Location | 351 Pine Ridge Ln, Indiana, Pennsylvania |
Authorized Official Name and Position | Amy Noel Rhoades (C.E.O.) |
Authorized Official Contact | 7242008027 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mindability Concierge, Llc 351 Pine Ridge Ln Indiana PA 15701-8688 Ph: (724) 200-8027 | Mindability Concierge, Llc 351 Pine Ridge Ln Indiana PA 15701-8688 Ph: (724) 200-8027 |
NPI Number | 1669126199 |
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Provider Enumeration Date | 02/03/2022 |
Last Update Date | 06/06/2022 |
Certification Date | 06/06/2022 |
Medicare PECOS PAC ID | 5193110716 |
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Medicare Enrollment ID | O20220317002539 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669126199 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Amy N Rhoades |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134653215 PECOS PAC ID: 4587063011 Enrollment ID: I20210603000033 |
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